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Moldovan, Flaviu, and Tiberiu Bataga. "Three-dimensional technologies used for patient specific applications in orthopedics." Acta Marisiensis - Seria Medica 67, no. 2 (June 1, 2021): 77–85. http://dx.doi.org/10.2478/amma-2021-0020.
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Abstract Background: Three-dimensional (3D) technologies have numerous medical applications and have gained a lot of interest in medical world. After the advent of three-dimensional printing technology, and especially in last decade, orthopedic surgeons began to apply this innovative technology in almost all areas of orthopedic traumatic surgery. Objective: The aim of this paper is to give an overview of 3D technologies current usage in orthopedic surgery for patient specific applications. Methods: Two major databases PubMed and Web of Science were explored for content description and applications of 3D technologies in orthopedic surgery. It was considered papers presenting controlled studies and series of cases that include descriptions of 3D technologies compatible with applications to human medical purposes. Results: First it is presented the available three-dimensional technologies that can be used in orthopedic surgery as well as methods of integration in order to achieve the desired medical application for patient specific orthopedics. Technology starts with medical images acquisition, followed by design, numerical simulation, and printing. Then it is described the state of the art clinical applications of 3D technologies in orthopedics, by selecting the latest reported articles in medical literature. It is focused on preoperative visualization and planning, trauma, injuries, elective orthopedic surgery, guides and customized surgical instrumentation, implants, orthopedic fixators, orthoses and prostheses. Conclusion: The new 3D digital technologies are revolutionizing orthopedic clinical practices. The vast potential of 3D technologies is increasingly used in clinical practice. These technologies provide useful tools for clinical environment: accurate preoperative planning for cases of complex trauma and elective cases, personalized surgical instruments and personalized implants. There is a need to further explore the vast potential of 3D technologies in many other areas of orthopedics and to accommodate healthcare professionals with these technologies, as well as to study their effectiveness compared to conventional methods.
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Metsemakers, Willem-Jan. "Experimental research methods in orthopedics and trauma." Acta Chirurgica Belgica 117, no. 2 (November 24, 2016): 136. http://dx.doi.org/10.1080/00015458.2016.1258808.
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Belloti, João Carlos, João Baptista Gomes dos Santos, Álvaro Nagib Atallah, Walter Manna Albertoni, and Flavio Faloppa. "Fractures of the distal radius (Colles' fracture)." Sao Paulo Medical Journal 125, no. 3 (May 2007): 132–38. http://dx.doi.org/10.1590/s1516-31802007000300002.
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CONTEXT AND OBJECTIVE: Although Colles' fracture is a common clinical situation for the orthopedist, we did not find any information in the literature that would allow safe decision-making on the best treatment for each fracture type. The aim of the present study was to investigate Brazilian orthopedists' opinions regarding the main aspects of treatments for Colles' fracture. DESIGN AND SETTING: Cross-sectional study conducted during the 34th Brazilian Congress of Orthopedics and Traumatology. METHODS: Five hundred questionnaires containing 12 items were randomly distributed to orthopedists who were attending the congress; 439 were filled out correctly and were considered in this study. RESULTS: The main factors in making decisions on interventions in fracture cases were whether the fracture was intra-articular, the existence of shortening of the distal radius and the patient's age. The classification method most used was Frykmann. The closed reduction method most used was manual reduction. The principal surgical interventions were percutaneous pinning (39%), external fixation (27%) and volar plate (19%). Most of the interviewees only used bone grafts for osseous gaps in special cases. The most frequent complications were impairment of joint mobility and residual pain. CONCLUSIONS: Brazilian orthopedists have concordant opinions regarding conservative treatment methods and the use of bone grafts. There were conflicting opinions regarding surgical treatment methods, classification types and complications.
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Camino Willhuber, Gaston, Pablo Slullitel, Danilo Taype Zamboni, Jose Albergo, Sergio Terrasa, Nicolas Piuzzi, and Jorge Boretto. "Validation of a modified Clavien-Dindo Classification for postoperative complications in orthopedic surgery." Revista de la Facultad de Ciencias Médicas de Córdoba 77, no. 3 (August 21, 2020): 161–67. http://dx.doi.org/10.31053/1853.0605.v77.n3.27931.
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Introduction: Postoperative complications (PCs) constitute any deviation from the normal postoperative course. Reporting of PCs remains a challenge, multiple classification systems have been proposed, however these have not been validated across surgical specialties. Clavien and Dindo (DCCS) developed a system for General Surgery and has been adopted in different fields. Nonetheless, this classification has not been adapted to Orthopedics. The objective of this study was to adapt the Clavien-Dindo classification to orthopedic scenarios and to determine the intra and interobserver reliability. Methods: The designer team adapted the Clavien Dindo classification to orthopedic scenarios. Ten orthopedic observers with different degrees of training and experience were selected to evaluate the classification. 48 simulated clinical scenarios of complications and another negative outcomes such as failure to cure and sequelae were sent by electronic format independently. A second round of scoring was performed 30 days later to assess the intraobserver concordance. Results: We found a high interobserver and intraobserver reliability for both the first and second evaluation (Kappa 0.88 and 0.91, respectively). In addition, the intraobserver analysis showed a very good correlation (Kappa 0.93). Discussion: The DCCS classification has been developed for general surgery and has been widely applied in the different surgical subspecialties. In Orthopedics, this classification was validated to hip and pediatric surgery. Therefore, our study involved an adaptation of the classification to general and specific orthopedic scenarios of the different orthopedic subspecialties. This classification may be a useful tool for documenting complications in orthopedic surgery. Keywords: postoperative complications; orthopedics; health systems
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Kireev, M. Yu, G. Z. Akhmetzyanova, and R. A. Saleev. "Planning dental services using the methods of marketing." Kazan medical journal 93, no. 2 (April 15, 2012): 324–26. http://dx.doi.org/10.17816/kmj2321.
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Aim. To justify the use of marketing methods in the activities of dental institutions. Methods. During the period 2008-2011 conducted was a sociological survey of 857 patients with detailed clinical examination; eight predictive models were developed. Used were variational statistics, regression analysis, mathematical modeling, expert method. Results. 171 (27.0%) men and 460 (73.0%) women went to seek care in commercial dental institutions. 267 (33.0%) men and 459 (67.0%) women went to seek care in state dental institutions. The referability of women to dentists was higher in both cases (p 0.05). Women aged 20-29 years preferred to go to commercial dental institutions (32.0±2.3%), than to the state ones (17.0±1.8%, p 0.001), while men, on the contrary, went to the state (37.0±2.4%) rather than commercial dental institutions (20.0±2.0%, p 0.001). At the age of 30-39 years the women went to state dental institutions (33%) more frequently than to commercial dental institutions (29%), while men - mostly to commercial dental institutions (26%) compared with the state (17%). Among the reasons for seeking dental treatment in a commercial organization the first one is the lack of queues at the reception: to surgeons 46.1±1.7%, therapists 58.3±1.7% and orthopedists 60.0±1.85%; the second place is held by a convenient patient schedule: for the profile of surgery 34.2±1.6%, therapy - 26.7±1.5%, orthopedics - 22.0±1.4%, and the contribution of other causes did not exceed 10.0±1.0%. Proposed were eight prognostic models in the form of regression analysis equations for complex evaluation of the influence of factors, which determine the choice of a health care institution, and the referral to the therapist-dentist, surgeon-dentist, orthopedist-dentist, and orthodontist both in public and private health care organizations. Conclusion. Prognostic matrices, calculated using the formulas of mathematical analysis, can be used when planning outpatient dental care, justifying the required number of dentists’ positions in the state and commercial dental organizations.
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Wataya, Erick Yoshio, Carlos Eduardo Azuma Lijo, Mateus Saito, Marco Antonio Pontes, Caio Takano Kunitake, and Marcelo Rosa de Rezende. "LIFE QUALITY EVALUATION USING “TIME TRADE OFF” METHOD FOR RHEUMATOID HANDS." Acta Ortopédica Brasileira 26, no. 6 (December 2018): 374–78. http://dx.doi.org/10.1590/1413-785220182606199308.
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ABSTRACT Objective: Rheumatoid arthritis is a prevalent disease in the population (range 0.5% to 1%) and involves both orthopedic and rheumatologic treatment. The Time Trade-Off (TTO) technique, which determines the number of years the patient or the professional would be allowed before a successful procedure in terms of life expectancy and value of the procedure, has been gaining ground in clinical protocols. From this standpoint, we sought to compare evaluations provided by the patients, orthopedists, and rheumatologists in determining the TTO and to correlate their responses with the clinical repercussions using previously established scores such as the Brief Michigan Hand Questionnaire and the Disease Activity Score-28 (DAS-28). Methods: A prospective study was conducted that involved 37 patients with rheumatoid arthritis, orthopedists, and rheumatologists. The TTO questionnaire was administered by an independent evaluator for evaluation using the DAS-28 and the Brief Michigan Hand Questionnaire. Results: The descriptive analysis revealed similar medians between the orthopedists, rheumatologists, and patients for single assessments. However, there was a weak correlation between the results from the patient and rheumatologist, the patient and Brief Michigan Questionnaire, and those of the orthopedic surgeon and the DAS-28. Conclusion: Similar median values demonstrated equivalent TTO among the orthopedist, rheumatologist, and patient. However, given the weak correlations between the scores, it was not possible to substitute results using a single evaluation scale. Level of Evidence II, Prognostic Studies.
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Englmeier, K. H., A. Wieber, K. A. Milachowski, C. Hamburger, and T. Mittlmeier. "Methods and applications of three-dimensional imaging in orthopedics." Archives of Orthopaedic and Trauma Surgery 109, no. 4 (June 1990): 186–90. http://dx.doi.org/10.1007/bf00453138.
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Baindurashvili, Alexei Georgievich, Maxim Konstantinovich Sviridov, Sergei Ivanovich Golyana, and Natalia Valerievna Avdeychik. "HISTORICAL AND MODERN CONCEPTS OF BONE RECONSTRUCTION METHODS." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 2, no. 4 (December 15, 2014): 45–50. http://dx.doi.org/10.17816/ptors2445-50.
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Bone reconstruction is one of the most topical problems of orthopedics and traumatology. According to the literature, search for the best methods and materials for bone grafting is carried out for a long time and is currently ongoing. The development of microsurgery provided new opportunities of bone remodeling, especially in pediatric orthopedics. However, as with any method, the predominance of the positive aspects of this method is accompanied by the existence of flaws. So the question of bone grafting remains relevant and debatable.
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Astur, Diego Costa, Rodrigo Ferreira Batista, Gustavo Goncalves Arliani, and Moises Cohen. "Trends in treatment of anterior cruciate ligament injuries of the knee in the public and private healthcare systems of Brazil." Sao Paulo Medical Journal 131, no. 4 (2013): 257–63. http://dx.doi.org/10.1590/1516-3180.2013.1314498.
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CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN AND SETTING Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. CONCLUSION Both in the public and in the private systems in Brazil, because of non-medical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.
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He, Qiaomu, Shenghao Chen, and Lei Li. "Image Enhancement Technology Based on Deep Trust Network Model in Clinical Treatment of Traumatology and Orthopedics." Journal of Healthcare Engineering 2021 (July 10, 2021): 1–11. http://dx.doi.org/10.1155/2021/1717512.
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Fractures have brought great pain to patients, and treatment requires a lot of time and yield slow results, which seriously affect the production and life of people. Fractures are mostly treated with traditional conservative treatment methods. For orthopedic trauma, image enhancement technology has gradually played an important role in the clinical treatment of orthopedic trauma and has become a kind of suffering. It has become a new treatment method that attracts people’s attention. In order to study the application of image enhancement technology based on the deep trust network model in the clinical treatment of trauma and orthopedics, this paper conducted a related survey of fracture patients in the city’s first hospital, reviewed relevant literature, and interviewed professionals, and we collected relevant material, constructed case templates, and created clinical research models using comprehensive quantitative and qualitative analytical techniques. Studies have shown that the use of image enhancement techniques in the treatment of fractures has been successful, with healing efficiency approximately 20% faster than conservative treatment. In the clinical treatment of trauma and orthopedics, image enhancement technology can effectively reduce the incidence of complications in the prognosis of patients. Symptom Drop. This shows that the image enhancement technology of the deep trust network model can play an important role in the clinical treatment of trauma and orthopedics.
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Utomo, Pamudji, Abdurrahman Afa Haridhi, and Mochammadsyah Beizar Yudistira. "A One-year COVID-19 Pandemic Effect on the Orthopaedic Field in Indonesia: A Cross-sectional Multi-center Study." Open Access Macedonian Journal of Medical Sciences 9, E (September 12, 2021): 805–11. http://dx.doi.org/10.3889/oamjms.2021.6927.
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BACKGROUND: The World Health Organization announced the COVID-19 outbreak as a global pandemic on March 11, 2020. Despite the fact that orthopedists are not considered front-line staff in the fight against the pandemic, the pandemic has had an enormous impact on orthopedics daily practice. A few studies have looked at the pandemic effect on the orthopedics field, but none have looked at the impact of a 1-year pandemic, especially in Indonesia. MATERIALS AND METHODS: This cross-sectional multi-center study was conducted at seven tertiary referral hospitals in Indonesia. Through hospital medical records, data were collected for a year, starting from the month the Indonesian government announced the first case of COVID-19 (March 2020–February 2021) and compared to data from the year before COVID-19 as a control (March 2019–February 2020). In addition, the researchers analyzed the number of patients in the emergency room (ER), outpatient clinic, inpatient, and operating room. RESULTS: Overall, the number of orthopedic patients in the ER declined by 44% from 11.053 to 6.139 patients during the 1st year of the pandemic, with 28 patients reported as getting COVID-19. The outpatient clinic decreased by 34%, from 10.9780 to 72.200 patients, with two confirmed cases. Furthermore, the inpatient unit decreased from 15.365 to 9.526 patients, a 38% decrease, with the highest recorded case confirmed at 78 patients. The last, with 73 confirmed, showed a 27% reduction in OR from 12.954 to 9.431 patients. CONCLUSION: In this study, analysis on the effect of the COVID-19 pandemic on the field of orthopedics in seven tertiary referral hospitals in Indonesia shows a significant decrease almost in all units. LEVEL EVIDENCE: III, Cross-sectional multi-center study.
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Kenis, Vladimir M., Alyona Ju Dimitrieva, and Andrei V. Sapogovskiy. "The attitude of doctors of various specialties to the problem of flatfoot." HERALD of North-Western State Medical University named after I.I. Mechnikov 11, no. 4 (March 27, 2020): 27–36. http://dx.doi.org/10.17816/mechnikov201911427-36.
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Purpose: to assess the subjective perception of flatfoots prevalence in children, its age dynamics and the main approaches to the diagnosis and treatment by doctors of various pediatric specialties with different medical experience and working in medical facilities at various levels by anonymous questionnaire.
Materials and methods. Questionnaire data from 80 orthopedists (50 outpatient doctors, 30 doctors from a specialized scientific research institute and orthopedic departments of city hospitals (research institutes / hospitals) and 30 neurologists (polyclinic).
Results: our study demonstrated that outpatient orthopedists diagnose the flatfoot on average in half of the cases. The orthopedists diagnose flatfoot only by means of visual examination in 46.1% of cases (neurologists in 85.7% of cases). According to our data, 58.9 % of outpatient doctors recommend wearing special orthopedic shoes (46.1 % only if the foot alone is affected) and 95.1 % of specialists recommend wearing individual orthopedic insoles (53.6 % if there are complaints). While 88.2 % of the orthopedic surgeons from specialized research institutes and hospitals do not recommend wearing orthopedic shoes; 26.7 % of experts recommend wearing individual orthopedic insoles only in the presence of complaints. On the other hand, the neurologists recommend wearing orthopedic shoes 5.3 times more often than the orthopedists do.
Conclusion: our study demonstrates that the specialty of the doctor (orthopedist, neurologist) and the type of health care facilities in which the specialist works have the greatest impact on his subjective perception of the prevalence and age dynamics of flatfoot in children, tactics of diagnostics and treatment. The outpatient orthopedists diagnose flatfoot 4.2 times more often than the orthopedic surgeons from the specialized research institute and hospitals. Also, the outpatient orthopedists prescribe wearing orthopedic shoes 4.9 times more often (insoles 3.6 times more often) in comparison with the orthopedic surgeons of the specialized research institute and orthopedic hospitals. Summarizing the above mentioned, we would like to note that due to the fact that the current assessment of the age limits of the arch height feet is ambiguous, there is a need to introduce a unified system for assessing the foots shape and posture with defining the concepts of average height and typically developing foot.
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Sakushima, Ken, Kazutoshi Hida, Ichiro Yabe, Satoshi Tsuboi, Ritei Uehara, and Hidenao Sasaki. "Different surgical treatment techniques used by neurosurgeons and orthopedists for syringomyelia caused by Chiari I malformation in Japan." Journal of Neurosurgery: Spine 18, no. 6 (June 2013): 588–92. http://dx.doi.org/10.3171/2013.3.spine12837.
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Object Syringomyelia is a rare disease commonly caused by Chiari I malformation. Surgery by neurosurgeons and orthopedists is a critical treatment for symptomatic patients, and surgical techniques are associated with improved symptoms for these patients. The aim of this study was to determine the different surgical techniques used by neurosurgeons and orthopedists in Japan to treat syringomyelia caused by Chiari I malformation. Methods Patients who had undergone a surgical treatment were identified from a 2-stage postal survey conducted in late 2009. The authors compared the type of surgery performed and its association with cavity size reduction, on the basis of whether patients were receiving care in a neurosurgery or orthopedics department. Results A total of 232 patients with syringomyelia caused by Chiari I malformation were included in this study. Two-thirds of patients were treated in a neurosurgery department and the other third in an orthopedics department. Neurosurgeons preferred foramen magnum decompression (FMD) with dural patch grafting, and orthopedists preferred FMD with dural dissection. Foramen magnum decompression with dural patch grafting was associated with better outcomes than was dural dissection with regard to the following: motor impairment (66% vs 39%, p < 0.05), sensory disturbance (60% vs 43%, p = 0.051), pain (67% vs 47%, p < 0.05), and cavity size (74% vs 58%, p < 0.05). Improved motor function was associated more with cavity size reduction than with sensory disturbance and pain. Conclusions Surgical procedures and outcomes differed, depending on whether the patient's care was managed in a neurosurgery or orthopedics department. Outcomes were better after FMD with dural patch grafting.
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Trisolino, Giovanni, Renato Maria Toniolo, Lorenza Marengo, Daniela Dibello, Pasquale Guida, Elena Panuccio, Andrea Evangelista, et al. "Resilience Against COVID-19: How Italy Faced the Pandemic in Pediatric Orthopedics and Traumatology." Children 8, no. 7 (June 22, 2021): 530. http://dx.doi.org/10.3390/children8070530.
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Background: We aimed to investigate the variation of medical and surgical activities in pediatric orthopedics in Italy, during the year of the COVID-19 pandemic, in comparison with data from the previous two years. The differences among the first wave, phase 2 and second wave were also analyzed. Methods: We conducted a retrospective multicenter study regarding the clinical and surgical activities in pediatric orthopedics during the pandemic and pre-pandemic period. The hospital databases of seven tertiary referral centers for pediatric orthopedics and traumatology were queried for events regarding pediatric orthopedic patients from 1 March 2018 to 28 February 2021. Surgical procedures were classified according to the “SITOP Priority Panel”. An additional classification in “high-priority” and “low-priority” surgery was also applied. Results: Overall, in 2020, we observed a significant drop in surgical volumes compared to the previous two years. The decrease was different across the different classes of priority, with “high-priority” surgery being less influenced. The decrease in emergency department visits was almost three-fold greater than the decrease in trauma surgery. During the second wave, a lower decline in surgical interventions and a noticeable resumption of “low-priority” surgery and outpatient visits were observed. Conclusion: Our study represents the first nationwide survey quantifying the impact of the COVID-19 pandemic on pediatric orthopedics and traumatology during the first and second wave.
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Gajdobranski, Djordje, Ivan Micic, Milorad Mitkovic, Desimir Mladenovic, and Miroslav Milankov. "Management of impaired fracture healing: Historical aspects." Medical review 58, no. 9-10 (2005): 507–12. http://dx.doi.org/10.2298/mpns0510507g.
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Introduction Establishing continuity of long bones in cases of impaired bone healing and pseudo-arthrosis is one of the most complex problems in orthopedics. Impaired bone healing The problem of impaired fracture healing is not new. As in other areas of human life, the roots of modern treatment of impaired bone healing lie in ancient medicine. A relatively high percentage of impaired bone healing, as well as unsatisfactory results of standard therapies of impaired bone healing and pseudoarthrosis demonstrate the actuality of this problem. This paper represents an attempt to pay respect to some of those who have dedicated their work to this problem in orthopedic surgery, and it is a historical review on impaired bone fracture healing. At the same time it should be an additional stimulus and challenge for orthopedic surgeons to further study impaired bone fracture healing, improve the existing and find new methods for their adequate treatment. Conclusion The authors are certain that the number of researchers throughout the world who have contributed to treatment modalities of impaired bone healing, is much higher, but not all are mentioned in this paper. However, it does not lessen their contributions to orthopedics.
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Kehr, Pierre. "Hamish Simpson, Peter Augat: Experimental research methods in orthopedics and trauma." European Journal of Orthopaedic Surgery & Traumatology 26, no. 8 (June 10, 2016): 947. http://dx.doi.org/10.1007/s00590-016-1788-5.
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Tetsworth, Kevin, Dave Fraser, Vaida Glatt, and Erik Hohmann. "Use of Google Scholar public profiles in orthopedics." Journal of Orthopaedic Surgery 25, no. 1 (January 1, 2017): 230949901769032. http://dx.doi.org/10.1177/2309499017690322.
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Introduction: The purpose of this study was to survey the growth of Google Scholar public profiles in orthopedics over a 12-month period and to investigate global patterns. Methods: Data was prospectively acquired from June 2013 to June 2014. Google Scholar queries specific to orthopedic surgery were performed at 90-day intervals. Demographic aspects of each user were also compiled, including gender, current location, and primary interests. To determine differences between the growth of Google Scholar public profile registrations and citation counts, as well as differences in growth in different regions, repeated measures of analysis of variance (RMANOVA) were used. Results: RMANOVA revealed statistically significant differences ( p = 0.0001) for regional growth. The largest growth was observed in the United Kingdom ( p = 0.009, 289%), followed by the Asia-Pacific region ( p = 0.004, 177%) and “Other” ( p = 0.006, 172%). The mean growth per 90-day interval is 19.9% ( p = 0.003) and the mean 12-month growth is 107% ( p = 0.05). Statistically significant differences between gender (male vs. female) and basic and clinical sciences ( χ2 = 22.4, p = 0.0001) were observed. Conclusion: This study suggests an exponential growth in the number of authors in the field of orthopedic surgery creating a Google Scholar public profile, and at the current rate participation doubles every 10.6 months.
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Mylnikova, Tamara A. "Specialized traumatological and orthopedic care for children through public-private partnership programs in the Novosibirsk region." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 4, no. 1 (March 15, 2016): 37–42. http://dx.doi.org/10.17816/ptors4137-42.
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Aim: To evaluate the feasibility of an organizational model of specialized traumatological and orthopedic care for children using public–private partnership mechanisms in the Novosibirsk region.Material and Methods: Data from patients visiting the Federal State Novosibirsk Research Institute of Traumatology and Orthopedics between 2011 and 2015 were acquired from “Medassist,” the local medical information system. Data were subsequently analyzed to identify the relative extent of medical care provided.Results: This study included results from an organizational model of specialized traumatological and orthopedic care for children developed via public–private partnership mechanisms that have been implemented in the Novosibirsk region since 2011. A number of institutions were involved in this model of medical care for children with traumatological and orthopedic pathology, including the Federal State Novosibirsk Research Institute of Traumatology and Orthopedics, Clinic “NIITO” (a non-governmental medical organization), and various other primary health care organizations, including children’s polyclinics and hospital outpatient departments. This model allowed us to create a closed (full) cycle of provision for specialized traumatological and orthopedic care, from primary treatment to the completion of rehabilitation with dynamic supervision throughout. This was accomplished by combining various clinical stages, including the specialized clinic, hospital, rehabilitation organization, and outpatient clinic. The main areas of this model include timely and reliable detection; determination of treatment indicators; appropriate definition of treatment terms; and the provision of specialized medical care, including high technology input, rehabilitation, and dynamic monitoring.Conclusions: Implementation of an organizational model of specialized traumatological and orthopedic care for children in the Novosibirsk region using mechanisms associated with public–private partnerships has proved to be very positive. Application of the model allowed improvements in the availability of specialized traumatological and orthopedic care for children to ensure succession in the stages of medical care and to increase the number of cases entering rehabilitation. Therefore, this model demonstrates the viability of providing medical care to the population through the mechanisms of public–private partnership.
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Qin, S., J. Zang, and B. Guo. "Ilizarov technology and chinese philosophy (To commemorate the 100th anniversary of the birth of Professor Ilizarov)." Genij Ortopedii 27, no. 3 (June 2021): 291–95. http://dx.doi.org/10.18019/1028-4427-2021-27-3-291-295.
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The Ilizarov technology was honored as a "milestone" in the history of orthopedics in the 20th century, benefiting tens of thousands of patients around the world, including Chinese patients. The paper presents an analysis of the integration of the method into Chinese medicine, taking into account national traditions, culture and clinical thinking. Ilizarov technology has revolutionized the orthopaedic surgery and clinical limb regeneration medicine in China. Ilizarov's methodology arose suddenly and brought about revolutionary changes in terms of theoretical guidance, methods of thinking, tools used and medical procedures. For the first time, Ilizarov's discovery made people realize that the human body, natural selection in biology and joint symbiotic evolutionary characteristics are common, namely, as long as the levers activate the tissue regeneration switch and changes in regulation, any tissue at any age and to any degree can complete the self-healing process in according to the requirements of doctors and the expectations of patients, similar to the growth of children. The process of working with an external Ilizarov fixator is like playing chess and changing a kaleidoscope, and the countless number of free combinations of stress configurations can be changed in accordance with the needs of the treatment. In China, Qin Xihe integrated the Chinese culture into the Ilizarov technology, thus forming the Chinese Ilizarov technology. He proposed new concepts such as the concept of natural reconstruction, evolutionary orthopedics, interpretation of body language, one walk, two lines, the principle of three balances, happy orthopedics, etc., which were introduced into clinical practice in the field of limb deformity correction and functional reconstruction. As of December 31, 2018, 35,075 cases of various deformities and disorders of the limbs were entered into the Qinsihe orthopedic database, of which 8113 cases were treated with external fixation (Ilizarov technology). The statistics of a large number of cases showed striking results: diseases treated with this technique covered almost all sections of orthopedic pathology and more than 10 sections of non-orthopedic and traumatological pathology, including vascular, nervous, genetic, metabolic, and skin diseases. In addition to orthopedic, there are more than 170 diseases in total. When Ilizarov's technology is applied, it can magically transform the old into the young. Therefore it is known as a "lifeboat". Conclusion Over the past 70 years, Ilizarov's ideas and technologies have been preserved, updated and augmented. Ilizarov's technology serves as an evolutionary phenomenon that transcends bone science. If you understand this technique, you will understand the direction of modern orthopedic surgery and regenerative medicine. Professor Ilizarov's morale and the spirit of fighting to alleviate the suffering of patients were transferred to the Chinese medical community. This awakened many Chinese doctors who followed the norms of the old and stereotyped medicine. After celebrating the centenary of the birth of Professor Ilizarov, ASAMI China will also prepare for the “Sixth ASAMI & ILLRS-BR World Conference (Beijing – 2023)”. We believe that orthopedics and allied disciplines around the world have a bright future.
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Kulkarni, Madhuri, and Anant Patil. "DRUG UTILIZATION STUDY IN THE ORTHOPEDICS OUTPATIENT DEPARTMENT OF A TERTIARY CARE HOSPITAL IN MAHARASHTRA." Asian Journal of Pharmaceutical and Clinical Research 11, no. 9 (September 7, 2018): 224. http://dx.doi.org/10.22159/ajpcr.2018.v11i9.26543.
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Objective: The objective of this study was to analyze the pattern of drug utilization in outpatients of orthopedics department from a tertiary care hospital.Material and Methods: In this retrospective study, prescriptions of randomly selected patients attending orthopedics clinic were screened to analyze a number of medicines per prescription. Number and percentages of prescribed medicines were calculated.Results: In this study, 512 patients (male 260 [50.8%] and females 252 [49.2%]) were included in the study. The total number of prescribed medicines was 1562, accounting for 3.1 medicines per patient. A total number of oral, parenteral, and topical medicines were 1375 (88%), 176 (11.3%), and 11 (0.7%), respectively. Nonsteroidal anti-inflammatory agents (NSAIDs), antacid/anti-ulcerants, and antimicrobial agents were 641 (41%), 371 (23.8%), and 102 (6.5%), respectively. A total of 54 (52.9%), 29 (28.4%), 9 (8.8%), 6 (5.9%), 3 (2.9%), and 1 (1%) patients were prescribed fluoroquinolones, beta-lactam antibiotics, metronidazole, trimethoprim plus sulfamethoxazole, macrolides, and doxycycline, respectively. For 371 (23.8%) patients, anti-ulcerant and antiulcer were prescribed, among which ranitidine was the most common prescription [353 (95.1%)]Conclusion: Number of medicines prescribed per patient in orthopedic clinic was 3.1. NSAIDs and antacid/anti-ulcerants were the most commonly prescribed medicines.
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Ahmed Alhaneedi, Ghalib, Abduljabbar Alhammoud, Shamsi Hameed, Mohammad Al Ateeq Al Dosari, and Abdullatif Alkhal. "DOES RESTRUCTURING THE RESEARCH CURRICULUM OF ORTHOPEDIC TRAINING PROGRAM AFFECT THE RESEARCH PERFORMANCE? EVIDENCE FROM QATAR." International Journal of Advanced Research 9, no. 01 (January 31, 2021): 950–56. http://dx.doi.org/10.21474/ijar01/12375.
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Background: The participation of trainees and faculties in the research is an integral part of postgraduate medical training and education. The educational curriculum of the training program should be structured to support the learning of the trainees scholarly activities, address research barriers, foster a culture of inquiry, and improve their research performance. The Accreditation Council for Graduate Medical Education International (ACGME-I) standards include participation in scholarly activities by residents and faculties as an essential requirement of the training program.The possible effects of research-based curriculum after accreditation of postgraduate training program on the research performance was examined in a longitudinal study of the orthopedic training program. Methods: Web-based systematic review for all publicationsfrom our orthopedic training program and only pubmed index publications of other institutional programs before (2009-2013) and after (2014-2018) accreditation was conducted. Data for the type of publications, journal name, impact factors, dates published, orthopedic specialty, level of evidence,and the role of residents and faculties in the authorship were collected.The research academic degree of residents, number of residents applied and matched for a fellowship in North America and/or UK were collected from a residents portfolio. Results: The orthopedics training program published a total of 50 articles between 2009 and 2018, which represented 2% of all other institutional programs publications. There was a significant improvement in the number of publications from three (6%) to 47(94%) articles before and after accreditation, respectively. There were 19(38%) original researches, 17(34%) review articles, 13(26%) case reports, and one letter to the editor. International Orthopedics was the most commonly used journal with ten publications (25%). Most of the publications were in orthopedic trauma with 18 articles (36%), 10(20%) pediatric orthopedics, 7 (14%) foot and ankle and 7(14%) spine articles. The residents were the first author in 50% of publications, and at least one-third were published during their training. Conclusion: This study showed that the development of the structured research based educational curriculumof the residency training program after accreditation helped in enhancing the research performance and publications in our postgraduate training program. Restructuring of the research-based curriculum after accreditation of the program appears to increase the trainees and faculties chances of being an author or co-author of a scientific article.
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Akhtyamov, I. F., Kh Z. Gafarov, P. S. Andreev, and A. P. Skvortsov. "New methods of the correction of cotyloid cavity dysplasia." Kazan medical journal 74, no. 2 (April 15, 1993): 87–92. http://dx.doi.org/10.17816/kazmj64628.
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New developments in surgery of displastic processes of cotyloid cavity tectum are presenj ted. Based on the progressive correction of pelvic component of the joint by the external fixation apparatus, these methods are sufficiently efficient and appropriate in children of school age. The variations of the correction of cotyloid cavity tectum are tested in the infantile department of the research center The recovery traumatology and orthopedics of Tatarstan and are found to be good. This paper is concerned with the detailed description of the operative interventions.
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Assama Riaz, Dinali Obeysekera, and Maya Itani. "New strategies of meniscal tears management: A review study." World Journal of Advanced Research and Reviews 10, no. 3 (June 30, 2021): 033–41. http://dx.doi.org/10.30574/wjarr.2021.10.3.0234.
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The incidence of meniscal tear injuries is rising, predominately due to the sporting activities of young adults. There are different methods in orthopedics of meniscal tear management. An Arthroscopic Partial Meniscectomy (APM) is the most practiced orthopedic procedure globally. However, recent literature reported serious concerns about its positive outcome. Meniscal repair is another recommended technique and growing rapidly due to its less incision requirement. Partial Meniscal implant is a modern management strategy with the excellent outcomes but still required further large-scale research. Concluding to the modern strategies of meniscus tear management “Save the meniscus!” is the emerging approach. This review critically analyzed the most adapted management strategies of meniscal tear and the emerging ones.
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Ivanov, Yaroslav A., Alexander G. Yeltsin, and Dmitry S. Mininkov. "Validation and cultural adaptation of Russian version of KOOS-Child questionnaire." N.N. Priorov Journal of Traumatology and Orthopedics 28, no. 1 (March 15, 2021): 53–64. http://dx.doi.org/10.17816/vto60489.
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Introduction. In our research 100 patients (51 male and 49 female) aged below 18 were assessed with the following knee problems: meniscal, anterior cruciate ligament, posterior cruciate ligament tears, mediopatellar plica syndrome, osteochondritis dissecans.
Aim: validation and cultural adaptation English version of KOOS-Child questionnaire for Russian language children and adolescent patients. Also, for using in N.N. Priorov National Medical Research Center of Traumatology and Orthopedics and other medical hospitals of Russian Federation.
Materials and methods. KOOS-Child has been translated in Russian language by orthopedist who is advanced in English and by professional medical translator. For control group we used Lysholm knee score. After all procedures statistical analysis was used. It consists of 3 stages: general data analysis, validation checking of questionnaire, checking objectivity and relevance of results.
Conclusions. Cronbachs alpha test score shows up very high-level consistency of the questions (0,959). Questions have high discriminatory power and results of assessment are objective and adequate. Methods of statistical analysis showed up that questionnaire can be use in practice by orthopedist.
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Bustos, Damian, César Orellana Ugarte, Iván Bitar, Lucas Marangoni, Pablo Bertiche, Cristian Robles, and Bernardo Murillo. "The Knee Magnetic Resonance Order: Can It Be Reduced by Specialists?" Orthopaedic Journal of Sports Medicine 6, no. 12_suppl5 (December 1, 2018): 2325967118S0021. http://dx.doi.org/10.1177/2325967118s00210.
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Introduction: Knee pain is one of the most common complications in the trauma clinic. It is common to find patients who come to the office with a Nuclear Magnetic Resonance (MRI) who have a broken meniscus and who are looking for a lathe in the operating room. The majority of these patients are feasible for orthopedic treatment and it is sufficient to perform correct semiological maneuvers to determine it. Although there is a growing demand for knee MRI by members of the health team. The hypothesis of this work postulates that the NMR requested by the specialists in orthopedics and traumatology offer positive results both for the diagnoses and for the treatment plans. Objectives: The aim of this study is to compare the usefulness in diagnosis and in the therapeutic definition of knee MRIs requested by medical specialists. Materials and Methods: We retrospectively reviewed 1,186 knee MRI reports from January 1, 2015 to July 31, 2015, using the computerized clinical history system. These were classified according to the origin of the request for the images (specialists in orthopedics and traumatology, residents of traumatology and other medical specialties). This information was explored for its characterization. Retrospective study. Level of evidence IV Results: We obtained 33% (389) normal report of knee, significantly lower (p <0.001) to 67% reporting injuries. The proportion of studies requested was mostly by specialists in orthopedics and traumatology (59%), followed by the proportion required by different medical specialties (27%) and by those prescribed by traumatology residents (13%). The percentages of normal reports of those studies requested were different (p <0.05) 29, 42 and 32%, respectively. Conclusions: In primary care by physicians and residents of traumatology, the request for knee MRI reports a high percentage of normal reports. Specialists in orthopedics and traumatology request this exam with greater demand and present greater findings of injuries.
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Gendy, Samuel, Mohamed ElGebeily, Tamer A. EL-Sobky, Khalid I. Khoshhal, and Ayman H. Jawadi. "Current practice and preferences to management of equinus in children with ambulatory cerebral palsy: A survey of orthopedic surgeons." SICOT-J 5 (2019): 3. http://dx.doi.org/10.1051/sicotj/2019003.
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Introduction: The consensus among orthopedic surgeons on the management of equinus deformity in cerebral palsy (CP) children has not been reported previously despite being a prevalent deformity. The goals of this study were to examine the orthopedic surgeons’ current practice regarding the management of equinus deformity in children with ambulatory CP, and analyze variations in current practice between general orthopedic and pediatric orthopedic surgeons. Methods: We implemented a brief cross-sectional self-reported questionnaire that addressed the areas of clinical examination and decision-making skills of management of equinus deformity in CP children. We targeted a convenience sample of 400 participants. Surgeons that provided complete responses to the questionnaire were 223 with a response rate of 56%, of which 123 (55%) were general orthopedic surgeons, whereas 100 (45%) were pediatric orthopedic surgeons. The target population consisted of orthopedic surgeons who were further sub-classified in accordance with practice age, general versus pediatric, and exposure to children’s orthopedics during the last three years of their practice. For analytical statistics, the Chi-Square test and Fisher’s exact test were used to examine the relationship between two qualitative variables. Results: The overall clinical practice preferences of all survey participants were unimpressive with discordant survey responses. Pediatric orthopedic surgeons generally demonstrated a statistically significant difference regarding clinical assessment skill items of the survey, in contrast to general orthopedic surgeons. However, we found no differences between pediatric orthopedic and general orthopedic surgeons regarding most of the decision-making/knowledge items. Discussion: Generally, there are insufficient clinical practice trends of both general and pediatric orthopedic surgeons regarding equinus treatment in CP children. This may indicate a knowledge–practice gap with potential risks to CP children undergoing surgery for equinus. There is a need for a more competent exposure to CP in orthopedic surgeons’ educational curricula and an updated health referral system.
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Bozhkova, S. A., E. M. Gordina, O. V. Schneider, A. N. Rukina, and V. V. Shabanova. "Resistance of carbapenemase-producing Klebsiella pneumoniae isolated from patients with orthopedic infection." Clinical Microbiology and Antimicrobial Chemotherapy 22, no. 1 (2020): 47–52. http://dx.doi.org/10.36488/cmac.2020.1.47-52.
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Objective. To evaluate the resistance rate and production of carbapenemases in Klebsiella pneumoniae with phenotypic resistance to carbapenems isolated from patients with orthopedic infection. Materials and Methods. The materials for the study were tissue samples, aspirates and removed orthopedic devices of patients with orthopedic infection at the Vreden Russian Research Institute of Traumatology and Orthopedics, between 2017 and 2019. K. pneumoniae strains were identified in Microlatest by iEMS ReaderMF. These strains were tested for susceptibility to 15 antimicrobial agents by disk diffusion methods, as described by the EUCAST. The carbapenemase genes were investigated by RT-PCR. Results. Of 858 isolated cultures, 6.8% were resistant to carbapenems. Molecular genetic analysis showed that 43.1% of the cultures had blaNDM gene and 24.1% blaOXA-48. All isolates of K. pneumoniae were characterized by resistance to cefotaxime, moxifloxacin and ciprofloxacin. OXA-48-strains were MDR in 50.0% of cases, XDR in 42.9%, PDR in 7.1%. Strains with NDM-carbapenemases were XDR in 68.0% and PDR in 32.0% of cases. The most effective antibiotic was fosfomycin. Thus, 66.7% of NDM-isolates demonstrated sensitivity to fosfomycin. One isolate was PDR with both NDM and OXA-48. Conclusions. Over the period of three years, carbapenemase-producing K. pneumoniae were isolated in the orthopedic hospital. These isolates were not only resistant to carbapenems, but also to a number of other antimicrobial agents. Isolates differed in resistance phenotypes depending on the presence of carbapenemases group, while strains with gene blaNDM were more resistant than those with blaOXA-48.
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Zhao, Xia, Jianfeng Li, Ying Chen, Chunjing Tao, and Run Ji. "Investigation of load transfer process between external fixator and bone model by experimental and finite element methods." Journal of Applied Biomaterials & Functional Materials 17, no. 1 (January 2019): 228080001982651. http://dx.doi.org/10.1177/2280800019826512.
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Introduction: Unilateral external fixators are widely used in orthopedics to stabilize fractured bones and to treat limb deformities. One of the main problems is that it is difficult to detect healing status. In addition, whether load transfer progress between the fixator and bone model are the same under axial, torsional, and bending loads has not been studied. Methods: Therefore the main purpose of this study was to detect the load transfer process between the fixator and a bone model by measuring strains on the fixator–bone system during four healing states using experimental and finite element methods. In the experimental method, 20 strain gauges were used to measure strain on the fixator and bone model under three load conditions. Polyacetal slice models with different material properties were used to simulate the callus model during four growth states. Results: The results indicate that strain on the bone model increased and strain on the fixator parts decreased with maturation of the callus under axial, bending, and torsional loads. Although all curves showed a similar changing trend, they were slightly different under the three loads. Discussion and conclusions: This study provides a useful method to monitor the fracture healing process, and identifies the healing endpoint, detects healing status, and provides useful information for the orthopedist.
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Richardson, Michelle A., Wasif Islam, and Matthew Magruder. "The Evolving Impact of COVID-19 on Medical Student Orthopedic Education: Perspectives From Medical Students in Different Phases of the Curriculum." Geriatric Orthopaedic Surgery & Rehabilitation 11 (January 1, 2020): 215145932095172. http://dx.doi.org/10.1177/2151459320951721.
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Introduction: The world-wide lockdown caused by Coronavirus Disease 2019 (COVID-19) has upended the trajectories of lives everywhere. The medical profession has been on the front lines of this rapidly developing situation, which in turn has called for unprecedented changes in the medical school curriculum. These changes have severe implications for medical students interested in applying to competitive surgical specialties like orthopedics. Methods: As medical students in 3 different class years pursuing orthopedic surgery, we provide our perspectives on the impact that COVID-19 has had on medical student orthopedic education. Results: With the removal of away rotations and a shift to virtual interviews, rising fourth year medical students are arguably the most impacted as they prepare for the orthopedic residency application process. Third year students, who are in the exploratory phase of choosing a specialty, also face uncertainties in the shift to a “new” clerkship experience that may (1) be of shorter duration, (2) implement shifts to limit overcrowding of clinical space, and (3) increase the use of telehealth over direct patient contact. Discussion: The COVID-19 pandemic has altered the course of medical students’ orthopedic education in unprecedented ways. We believe the following suggestions may be helpful for students seeking alternative, supplemental ways of learning: (1) read up on major orthopedic journals, (2) reach out to orthopedic surgeons in areas of interest, (3) reach out to program directors/medical clerkship directors/program coordinators for opportunities to attend their educational curriculum virtually, (4) attend online lectures and hospital grand rounds, and (5) practice suturing technique with a practice kit. Conclusions: While the medical education landscape remains uncertain amid the evolving conditions of COVID-19, as medical students we strive to learn from this pandemic and respond to future unforeseen challenges with resilience, dedication, and compassion: all qualities we admire in orthopedic surgeons.
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Niezbecka-Zając, Joanna, Karolina Turżańska, Agnieszka Posturzyńska, and Anna Horecka. "THE EVOLUTION OF TREATMENT AT THE ORTHOPEDICS AND REHABILITATION CLINIC." Wiadomości Lekarskie 73, no. 9 (2020): 1815–17. http://dx.doi.org/10.36740/wlek202009101.
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Introduction: The last 20 years have been a period of huge changes in Polish healthcare, both in terms of medical progress as well as organization and financing. These changes, and especially the newly introduced queuing systems significantly influenced the changes in the profile of hospital admission. The aim: To analyze changes in the patient profile, causes and time of hospitalization, as well as the waiting time for hospitalization, in 1996-2019 Lublin SPSK4 Orthopedics and Rehabilitation Clinic. Material and methods: Patients’ medical records were analyzed, including qualification cards. The waiting time for admission to the hospital, the time of hospitalization, the cause of hospitalization, gender and the patient’s place of residence were analyzed. Results and conclusions: 1. During the 13 years analyzed, the number of hospitalizations increased from 452 to 1387 patients a year. 2. The waiting time for hospitalization increased from an average of 2 months in 1996 to even 2 years (in the case of patients with chronic category) in 2020. 3. The average length of hospitalization changed compared to the level of 1996 (8 weeks) in the case of patients with the early neurological category increased slightly (9 weeks), in the case of other patients - it decreased to 4 weeks, respectively - chronically ill patients, 3 weeks - patients from the systemic and weekly rehabilitation category - orthopedic patients. 4. The scope of the reasons for hospitalization, but also methods of treatment has expanded significantly. 5. Patient demographic profile in the examined aspects (origin, gender) - remained similar.
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Greenfield, Paul T., Wesley J. Manz, Emily L. DeMaio, Sage H. Duddleston, John W. Xerogeanes, T. Scott Maughon, Corey C. Spencer, et al. "Telehealth Can Be Implemented Across a Musculoskeletal Service Line Without Compromising Patient Satisfaction." HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery 17, no. 1 (February 2021): 36–45. http://dx.doi.org/10.1177/1556331620977171.
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Background: The COVID-19 pandemic has led to changes to in-office orthopedic care, with a rapid shift to telemedicine. Institutions’ lack of established infrastructure for these types of visits has posed challenges requiring attention to confidentiality, safety, and patient satisfaction. Purpose: The aim of this study was to analyze the feasibility of telemedicine in orthopedics during the pandemic and its effect on efficiency and patient satisfaction. Methods: Patients seen by the Emory University Department of Orthopaedics Sports Medicine and Upper Extremity Divisions via telemedicine from March 23 to April 24, 2020, were contacted by telephone. Each patient was asked to respond to questions on satisfaction, ease of use, and potential future use; satisfaction with telemedicine and previous clinical visits were measured using a modified 5-point Likert scale. Results: Of the 762 patients seen, 346 (45.4%) completed the telemedicine questionnaire. Satisfaction varied by visit type, with average scores of 4.88/5 for in-office clinic visits versus 4.61/5 for telemedicine visits. There was no significant difference among age groups for satisfaction ratings. Patients 65 years old or older reported significantly longer visit times and decreased ease of use with the telemedicine platform. Conclusion: Telemedicine in a large orthopedics department was successfully implemented without compromising patient satisfaction. The use of telemedicine allows many patients to be seen quickly and efficiently without diminishing their musculoskeletal clinical experience.
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Lampe, Renee. "Noninvasive diagnostic methods for perceptual and motor disabilities in children with cerebral palsy." Orthopedic Reviews 1, no. 1 (September 30, 2009): 20. http://dx.doi.org/10.4081/or.2009.e20.
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The field of neuroorthopedics centers on chronic diseases demanding close clinical monitoring. We shall use several examples to show how the various noninvasive diagnostic instruments can be used to obtain insight into the central nervous system as well as into the musculoskeletal system and its morphology. The choice of the most appropriate method depends on the problem; that is, whether the method is to be applied for clinical use or for basic research. In this report we introduce various technical examination methods that are being used successfully in the fields of pediatrics, orthopedics, and neurology. The major examination instrument in pediatric diagnostics is sonography, which is being used in this report as a research instrument for the biomechanics of the musculoskeletal system, but which also gives insight into neurofunctional sequences. In orthopedics, pedography is used for diagnosing deformities of the feet. In neuroorthopedics for children pedography acts as a functional monitor for apraxia and thus allows, for example, a classification of the degree of neurological malfunctions in the lower extremities. The 3D bodyscan is used to minimize x-raying in patients with neurogenic scoliosis. This report introduces examples of the application of MRI and fMRI for basic research. The biometric measuring methods introduced provide precise data in the areas of diagnostics and monitoring and are highly valuable for further neuroorthopedic basic research. In future we expect the ever-evolving technical measuring methods to enable a deeper understanding of the primary neurological causes of and the implications for patients with cerebral palsy and other neuroorthopedic conditions. This may allow the development of new forms of therapy not necessarily predictable today.
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Semba, Julia Anna, Adam Aron Mieloch, and Jakub Dalibor Rybka. "Introduction to the state-of-the-art 3D bioprinting methods, design, and applications in orthopedics." Bioprinting 18 (June 2020): e00070. http://dx.doi.org/10.1016/j.bprint.2019.e00070.
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Marche, Benedikt, Meike Neuwirth, Christiane Kugler, Bertil Bouillon, Frauke Mattner, and Robin Otchwemah. "Correction to: Implementation methods of infection prevention measures in orthopedics and traumatology – a systematic review." European Journal of Trauma and Emergency Surgery 47, no. 4 (March 9, 2021): 1015. http://dx.doi.org/10.1007/s00068-021-01610-6.
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Арсентьева, Nataliya Arsenteva, Черникова, Olga Chernikova, Сороковиков, Vladimir Sorokovikov, Шурыгина, and Irina Shurygina. "INNOVATIONS FOR DIAGNOSTICS AND TREATMENT OF INJURIES AND DISORDERS OF MUSCULOSKELETAL SYSTEM IN IRKUTSK SCIENTIFIC CENTER OF SURGERY AND TRAUMATOLOGY (TO THE 70TH ANNIVERSARY OF SCIENTIFIC RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS)." Бюллетень Восточно-Сибирского научного центра Сибирского отделения Российской академии медицинских наук 1, no. 4 (November 28, 2016): 141–44. http://dx.doi.org/10.12737/23002.
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The article summarizes experience and achievements of Irkutsk Scientific Research Institute of Traumatology and Orthopedics (now – Irkutsk Scientific Center of Surgery and Traumatology) over a 70-year period. The development of new methods of diagnostics and treatment and organization of health care for patients with traumatological and orthopedic pathology are highly influenced by the Institute. The team of Irkutsk Scientific Center of Surgery and Trau-matology developed a new promising direction of combined tension-band osteosynthesis, substantiated organ-sparing endoprosthesis replacement, created new technologies of treatment of chronic osteomyelitis, developed concept of treat-ment of spinal trauma and spinal cord injuries, determined regularities of cross-system organization of physiological functions at the musculoskeletal system pathology, created original technologies and instruments for the treatment of musculoskeletal system traumas and disorders.Innovations created in ISCST include 330 patents. Irkutsk Scientific Center of Surgery and Traumatology was awarded Governor’s Award in Science and Technics for the development and introduction in clinical medicine of new diagnostic and treatment methods and of candidate medicines in 2012 and 2013.
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Kolin, David A., Kaitlin M. Carroll, Kevin Plancher, and Fred Cushner. "Perspective of Attending Physicians on the Use of Telemedicine in an Outpatient Arthroplasty Setting During the COVID-19 Pandemic." HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery 17, no. 1 (February 2021): 31–35. http://dx.doi.org/10.1177/1556331620979984.
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Background: During the worldwide COVID-19 pandemic, physicians had to improvise and adapt new ways to provide care to patients. Purposes: The purpose of this study was to assess physicians’ sentiments regarding telemedicine and its use in orthopedic practices. Methods: We performed a cross-sectional study of attending orthopedic physicians, the majority of whom integrated telemedicine into their practices from March to October 2020. A survey was sent to 517 physicians who had registered for an orthopedics conference. The survey included questions pertaining to various factors regarding telemedicine and each physician’s practice. Results: Of the 517 physicians who received the survey, 328 responded, for a 63.4% response rate. Of the 328 respondents, 84.1% did not use telemedicine in their practice prior to the COVID-19 pandemic. Even during the pandemic, the physicians most commonly responded that less than 5% of their practice was conducted by telemedicine (n = 103, 31.4%). The second most common response was that more than 20% of visits were done via telemedicine (n = 72, 22.0%); 43.0% of physicians noted that they would not use telemedicine technology in their practice after the pandemic, but 59.1% of physicians would be willing to do annual visits by telemedicine. Ability to examine the patient (2.0 ± 1.0) was rated worse, overall, than either the experience using the technology (3.2 ± 1.0) or the capacity to communicate with the patient (3.6 ± 1.0). Conclusions: Our survey of orthopedic surgeons demonstrates that while the use of telemedicine technology was minimal prior to the pandemic, its use was widely adopted during the pandemic. Nearly half of physicians said that they will continue to use telemedicine.
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Lach, Sławomir, Przemysław Jurczak, Natalia Karska, Agnieszka Kubiś, Aneta Szymańska, and Sylwia Rodziewicz-Motowidło. "Spectroscopic Methods Used in Implant Material Studies." Molecules 25, no. 3 (January 29, 2020): 579. http://dx.doi.org/10.3390/molecules25030579.
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It is recognized that interactions between most materials are governed by their surface properties and manifest themselves at the interface formed between them. To gain more insight into this thin layer, several methods have been deployed. Among them, spectroscopic methods have been thoroughly evaluated. Due to their exceptional sensitivity, data acquisition speed, and broad material tolerance they have been proven to be invaluable tools for surface analysis, used by scientists in many fields, for example, implant studies. Today, in modern medicine the use of implants is considered standard practice. The past two decades of constant development has established the importance of implants in dentistry, orthopedics, as well as extended their applications to other areas such as aesthetic medicine. Fundamental to the success of implants is the knowledge of the biological processes involved in interactions between an implant and its host tissue, which are directly connected to the type of implant material and its surface properties. This review aims to demonstrate the broad applications of spectroscopic methods in implant material studies, particularly discussing hard implants, surface composition studies, and surface–cell interactions.
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Khan, Imran, Mohammad Saeed, Muhammad Inam, and Mohammad Arif. "TRADITIONAL BONE SETTERS." Professional Medical Journal 22, no. 09 (September 10, 2015): 1181–85. http://dx.doi.org/10.29309/tpmj/2015.22.09.1132.
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Objectives: To evaluate the factors for preferring the traditional bone settersby people. Study Design: Observational study. Setting: Department of Orthopedics andSpine Surgery Hayatabad Medical Complex Peshawar. Period: October, 2013 to March, 2014.Materials and Methods: Sixty consecutive patients who presented at orthopedics out-patientclinic after attending Traditional Bone Setting Centers were recruited for the study. Informationabout the patients’ bio data, mechanism of injury, who advised them to contact TBS and whatare the factors that compelled them to attend TBS were obtained and filled into preparedproforma. The data obtained was recorded and analyzed on SPSS version 17.Results: Themean age was 25.57 years with minimum age 5 years and maximum 65 years. Sixteen patientswere females and 44 were male. Two (3.3%) patients first attended Modern orthopedic services(MOS) and 58(96.7%) patients attended TBS.47(78.3%) patients were taken by their ownimmediate family members to TBS, 20% were referred by friends and 1.7% were self-referral.Thirty seven (61.7%) opted for TBS because of their belief, 11(18.3%) considered this servicecheap, 7(11.7%) attended it because it is quick service and 5 (8.3%) reverted to TBS becauseof attitude of hospital personals. Conclusion: A considerable of people still have great trust onTBS regarding management of musculoskeletal problems. Belief is the most leading cause ofconsulting traditional bonesetters, other causes include low cast, quick service and attitude ofhospital personnel.
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Frick, Steven L., Hui Taek Kim, and Dennis R. Wenger. "ADVANCED IMAGING METHODS FOR THE ASSESSMENT OF HIP DYSPLASIA." Journal of Musculoskeletal Research 03, no. 01 (March 1999): 19–32. http://dx.doi.org/10.1142/s021895779900004x.
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Developmental dislocation of the hip is an important orthopedic condition whose early diagnosis and treatment greatly improves the life of a patient with the condition. Despite a worldwide focus on early diagnosis and treatment, many children and adolescents present with residual hip dysplasia. This group includes those that have not had prior diagnosis or treatment and often present in adolescence, as well as those who have been treated nonoperatively and yet continue to have residual dysplasia. Decisions determining when hip dysplasia should be surgically corrected have traditionally been dependent upon two-dimensional images (plain radiographs) to analyze the nature and degree of residual deformity. To better understand residual hip dysplasia in children, we have utilized three-dimensional computerized tomographic (3-D CT) methods to evaluate the pathoanatomy of hip dysplasia in children. Careful analysis of these images has allowed us to more fully understand the nature of residual hip dysplasia and to better plan corrective hip osteotomies designed to improve the longevity and function of the hip joint.
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Polousky, John D., Thomas P. Hedman, and C. Thomas Vangsness. "Electrosurgical methods for arthroscopic meniscectomy." Arthroscopy: The Journal of Arthroscopic & Related Surgery 16, no. 8 (November 2000): 813–21. http://dx.doi.org/10.1053/jars.2000.19437.
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Lubowitz, James H., Matthew T. Provencher, and Gary G. Poehling. "The ISAKOS Research Methods Handbook." Arthroscopy: The Journal of Arthroscopic & Related Surgery 27, no. 4 (April 2011): 449. http://dx.doi.org/10.1016/j.arthro.2011.02.002.
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Beleckas, Casey M., and Jan P. Szatkowski. "Nontraditional Methods of Fibula Fixation." Orthopedic Clinics of North America 52, no. 2 (April 2021): 123–31. http://dx.doi.org/10.1016/j.ocl.2021.01.001.
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Vaish, Abhishek, William Murrell, and Raju Vaishya. "History of regenerative medicine in the field of orthopedics." Journal of Arthroscopic Surgery and Sports Medicine 1 (July 15, 2020): 154–58. http://dx.doi.org/10.25259/jassm_12_2020.
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The demand and surge of regenerative medical treatments for various musculoskeletal disorders and injuries have increased exponentially in the recent past. We have reviewed the evolution of these treatments, from the past to the present times. This era has seen a paradigm shift from the replacement to regenerative methods of treatment for many orthopedic disorders. The regenerative medicine helps in restoring the natural tissue in the body at the diseased area. From the ancient methods of provoking tissue healing by noxious stimuli, now, many sophisticated and scientifically proven techniques of regeneration of tissues have come up and are being used globally. Cell therapies have been used as a treatment for a variety of musculoskeletal pathologies including osteoarthritis, cartilage defects, tendinopathies, delayed union and non-unions, non-union of fractures, and treatment of avascular necrosis of femoral head and other bones. Cellular therapies, with or without tissue engineering, seem to the future of regenerative medicine and these may make the replacement of a diseased joint or bone redundant in the near future.
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Rodrigues, Laëtitia, François H. Cornelis, and Sylvie Chevret. "Hip Fracture Prevention in Osteoporotic Elderly and Cancer Patients: An On-Line French Survey Evaluating Current Needs." Medicina 56, no. 8 (August 7, 2020): 397. http://dx.doi.org/10.3390/medicina56080397.
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Background and objectives: Hip fracture is a major public health issue. Those fractures lead to high costs and a decrease in quality of life. A national French survey was conducted, with the objectives to firstly assess the current management of hip fracture and its prevention, both in the osteoporotic and cancer settings, and secondly to evaluate the opinions of physicians on the potential use of minimally invasive implantable devices to prevent hip fracture in alternative of surgery. Materials and methods: This national survey was conducted in France between April and July 2017. Questionnaires were sent to orthopedic surgeons, interventional radiologists, oncologists, and rheumatologists. Completed questionnaires were analyzed and compared according to two indications: orthopedics-traumatology and oncology. Factors associated with these responses were assessed using univariable analyses, based on chi-square tests or an exact Fisher test, as appropriate. Results: A total of 182 questionnaires were completed and further analyzed. Physicians have highlighted the need for a low re-fracture rate and to improve life expectancy for more than 1 year (50% for responders of the orthopedics-traumatology questionnaire and 80% for the responders interested in both indications), as well as quality of life (12.5% and 31%, respectively), but with no significant differences in the oncologic indication. Most of the experts were willing to use or prescribe implantable devices for prevention (63% in orthopedics-traumatology and 93% in oncology), although limited clinical experience (54 and 58%) and surgical risk (around 30% in each indication) were considered as limits. Conclusions: Prevention of hip fracture remains a concern for physicians. More clinical experience with implantable devices, in particular in cancer patients, is needed, but implemented in a strategy to maximize patient recovery while reducing costs.
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Jati Nugroho, Bagus, Bintang Soetjahjo, Udi Heru Nefihancoro, Rieva Ermawan, Rhyan Darma Saputra, Galih Santoso Putra, Fathih Kaldani, Muhammad David Perdana Putra, Zaltri Rhani Lebang, and Dea Alberta Setiawati. "Orthopedic Department of Education Center and Service Provide During Coronavirus Disease-2019 Pandemic: An Experience from Single-Center Hospital." Open Access Macedonian Journal of Medical Sciences 9, B (April 28, 2021): 250–54. http://dx.doi.org/10.3889/oamjms.2021.6027.
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BACKGROUND: In the global pandemic of the 2019 coronavirus disease (COVID-19), many countries have reported a decrease in visits to hospitals, and health-care systems around the world are reshaping health protocols. Health service and education in orthopedics are also affected although not at the frontline in dealing COVID-19. METHODS: The data from this study collected from several official databases, including the Indonesian Ministry of Health, Central Java provincial government, general hospital, and orthopedic surgery cases. RESULTS: Pandemic COVID-19 started in March 2020 in Indonesia. Surakarta has become one of the epicenters. Health services in the orthopedic department also experienced a decrease cases on all divisions (outpatient clinics, emergency rooms, and inpatients). Mann–Whitney non-parametric comparative test showed significance result in p value operation of orthopedic cases and inpatients (p = 0.016 and p = 0.016; p < 0.05), meanwhile, outpatient visits did not show significance result with p = 0.0509 (p > 0.05). The decrease in the number of cases being treated in the orthopedic service also has an impact on education and training programs. The digital era is one of the choices in the field of education. However, digital resources cannot substitute for direct patient exposure. CONCLUSION: The average number of orthopedic patients during the pandemic period from January to December 2020 decreased compared to visits in the same period in 2019 so that orthopedic services at tertiary and academic referral hospitals experienced a significant decrease in cases. The education and services department must adapt to the policy on educational activities for residents and medical students. The education department and hospital institutions restructured and reorganized resident doctors to continue providing services. The digital era is an option that supports the education process during a pandemic.
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Rahman, Mohammad Shahriar, Md Khorshed Alam, Md Shahiduzzaman, and Arebia Rahman. "Percutaneous needle tenotomy for Ponseti technique in the management of Congenital Talipes Equinovarus (CTEV)." Journal of Dhaka Medical College 23, no. 1 (March 26, 2015): 55–59. http://dx.doi.org/10.3329/jdmc.v23i1.22695.
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Background: The Ponseti method has become established treatment of choice in the management of clubfoot i.e. congenital talipes equinovarus (CTEV). Tenotomy of Tendo-achillis often is required as last step of ponseti method of treatment. This procedural note describes a simple method of doing a percutaneous tenotomy of Tendo-achilles. Methods: In Orthopedics OPD of Dhaka Medical College Hospital, Dhaka, percutaneous needle tenotomy was done in 70 feet of 52 patients from September 2013 to May 2014 by the same orthopedic surgeons for the management of CTEV by Ponseti technique. Results: We have found this technique is very effective than the commonly practiced percutaneous blade tenotomy or open tenotomy. Conclusion: This simple method of tenotomy using a wide bore needle during treatment of clubfoot in children can be a good surgical option. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22695 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 55-59
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Hacihaliloglu, Ilker. "Ultrasound imaging and segmentation of bone surfaces: A review." TECHNOLOGY 05, no. 02 (June 2017): 74–80. http://dx.doi.org/10.1142/s2339547817300049.
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Due to its real-time, non-radiation based three-dimensional (3D) imaging capabilities, ultrasound (US) has been incorporated into various orthopedic procedures. However, imaging artifacts, low signal-to-noise ratio (SNR) and bone boundaries appearing several mm in thickness make the analysis of US data difficult. This paper provides a review about the state-of-the-art bone segmentation and enhancement methods developed for two-dimensional (2D) and 3D US data. First, an overview for the appearance of bone surface response in B-mode data is presented. Then, classification of the proposed techniques in terms of the image information being used is provided. Specifically, the focus is given on segmentation and enhancement of B-mode US data. The review is concluded by discussing future directions of research and additional challenges which need to be overcome in order to make this imaging modality more successful in orthopedics.
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Loskutov, O. E., D. A. Sinegubov, and O. E. Oleynik. "Application of interactive methods of education in the teaching of traumatology and orthopedics to foreign students." Problems of uninterrupted medical training and science 25, no. 2 (June 2017): 15–18. http://dx.doi.org/10.31071/promedosvity2017.02.015.
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Rasovic, Predrag, Vladimir Harhaji, Srdjan Ninkovic, Ivica Lalic, Marija Marinkovic, and Miroslav Milankov. "Correlation between graft contamination incidence and length of surgery performed to reconstruct anterior cruciate ligament." Medical review 69, suppl. 1 (2016): 67–71. http://dx.doi.org/10.2298/mpns16s1067r.
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Introduction. Anterior cruciate ligament reconstruction is one of the most performed procedures in orthopedic surgery. Due to the increasing number of population and their better access to health care, as well as the ever faster pace of modern living, this procedure is likely to become the most performed surgical procedure in orthopedics generally. One of the most common complications after this procedure is septic arthritis of the knee. The concept of intraoperative contamination of the graft during the procedure as one of the possible causes of the development of postoperative infection was mentioned as late as at the end of last and the beginning of this century and it has become the subject of much controversy among orthopedic surgeons. Material and Methods. This study was conducted at the Department of Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina in Novi Sad and included 200 patients who had undergone primary anterior cruciate ligament reconstruction. Graft swabs were taken during the reconstruction intraoperatively, immediately before its implantation. The follow-up period was 24 months. Results. Of the 200 samples taken intrao?peratively, 33 swabs were positive. The most common cause of intraoperative contamination was coagulase-negative Staphylococcus (in 72.7%). Average duration of surgery was 55.15 minutes, being 66.82 minutes in the group of patients with isolated positive swabs and 52.84 minutes in the group with negative swabs. Conclusion. The results of the study clearly show that prolonged duration of surgery significantly influences the incidence of graft intaoperativne contamination.
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Sevda Uzun Dirvar, Ferdi Dirvar, Hasim Capar*, Yusuf Baktir. "An Analysis of Orthopedic Surgical Services Provided to Syrian Refugees in a Health Center Away from the Syria District." Innovative Journal of Medical and Health Science 10, no. 06 (June 6, 2020): 940–43. http://dx.doi.org/10.15520/ijmhs.v10i06.2970.
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Background: The Arab Spring, a wave of demonstrations and protests that hadtaken place in the Arab world since December 18, 2010, had also affected Syria. Thenumber of Syrian refugees who have migrated to Turkey is over 3.5 million.Objective: The aim of this study was to evaluate the demography, clinical featuresand invoice amounts of Syrian refugee patients who were operated in an orthopedicand traumatology clinic of a healthcare institution far from the Syria district region.Materials and Methods: For this purpose, 329 Syrian patients who underwentsurgery in the field of orthopedics and Traumatology between June 2011 and 2018were enrolled in the study. The records of Syrian refugees have been retrospectivelyexamined.Results: Male applicants (76.3%) were more than females (23.7%).%). It was observedthat the highest number of applications were in the field of microsurgery (21.3%),followed by trauma (20.7%) and pediatric orthopedics (14.6%), respectively. Includingthe non-emergency trauma patients, 90% of the patients underwent elective surgerieswhile 10% underwent emergency surgeries. It was determined that the average invoiceamount was 4987 TL (min: 207 TL, max: 87541 TL) and the highest cost was in thefield of vertebral surgery (average 19384 TL). The rate of emergency applications hasshown a significant increase in 2016 and later (2016-2017-2018) compared to 2015 andbefore .Conclusion : The main Syrian refugees patient profile of the health centers far fromthe war zone is composed of elective cases and their costs.Key words: Health Services Accessibility–Hospital Costs–Orthopedic Procedures–Refugees–Syria