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Статті в журналах з теми "ORTHOPEDIC SURGEN"

Автор: Grafiati

Опубліковано: 11 вересня 2023

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1

Laios, Konstantinos, Konstantinos Markatos, and George Androutsos. "Louis-Léopold-Xavier-Édouard Ollier (1830-1900): An Innovative Orthopedic Surgeon." Surgical Innovation 24, no. 4 (April 9, 2017): 402–4. http://dx.doi.org/10.1177/1553350617702310.

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Louis-Léopold-Xavier-Édouard Ollier (1830-1900) was a pioneer in orthopedics considered as the founder of modern orthopedic surgery. He was a skillful and experimenter surgeon. He invented many new surgical techniques in orthopedic surgery and many new surgical instruments. His most known discovery is Ollier’s disease.

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2

Yu, Jinli, Fei Zou, and Yirui Sun. "Job satisfaction, engagement, and burnout in the population of orthopedic surgeon and neurosurgeon trainees in mainland China." Neurosurgical Focus 48, no. 3 (March 2020): E3. http://dx.doi.org/10.3171/2019.12.focus19830.

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OBJECTIVEIn China, orthopedics and neurosurgery are among the most desired majors for medical students. However, little is known about the working and living status of specialists in these two fields. This study was aimed at evaluating job satisfaction, engagement, and burnout in the population of Chinese orthopedist and neurosurgeon trainees.METHODSA nationwide online survey was administered in mainland China. Questionnaires were answered anonymously. Job satisfaction, engagement, and burnout were assessed using the Job Descriptive Index, the Utrecht Work Engagement Scale, and the Maslach Burnout Inventory, respectively.RESULTSData were collected from 643 orthopedist trainees and 690 neurosurgeon trainees. Orthopedists and neurosurgeons showed no statistical difference in terms of age, sex, job titles, and preference for working in tertiary hospitals. Orthopedists had a higher marriage rate (p < 0.01), a lower divorce rate (p = 0.017), relatively shorter working hours (p < 0.01), and a higher annual income (p = 0.023) than neurosurgeons. Approximately 40% of respondents experienced workplace violence in the last 5 years. Less than 10% of respondents were satisfied with their pay, and over 70% would not encourage their offspring to become a doctor. Orthopedists were more satisfied with their careers than neurosurgeons (p < 0.01) and had a higher level of work engagement (p < 0.01). In addition, a higher proportion of orthopedists were burnt out (p < 0.01) than neurosurgeons, though the difference between the two groups was not significant (p = 0.088). Multivariate regressions suggested that younger age (≤ 25 years old), being a senior trainee, getting divorced, working in a regional hospital, long working hours (≥ 71 hrs/wk), a low annual income (<¥100,000), sleeping < 6 hrs/day, and experience with workplace violence were significantly related to burnout for both groups.CONCLUSIONSChinese orthopedic surgical and neurosurgical trainees are under significant stress. Orthopedic surgeons showed relatively optimistic data in their assessments of job satisfaction, engagement, and burnout. This study may provide valuable information for orthopedic and neurosurgical candidates considering either specialty as a career.

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3

Ciechanowicz, Dawid, Jakub Pawlik, Paweł Ziętek, Andrzej Bohatyrewicz, and Daniel Kotrych. "Bone diaphysis metastases from the perspective of an orthopedic surgeon – review." Chirurgia Narządów Ruchu i Ortopedia Polska 87, no. 1 (March 31, 2022): 20–24. http://dx.doi.org/10.31139/chnriop.2022.87.1.4.

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Bone metastases are a great challenge in the practice of an orthopedic surgeon. Due to the development of oncological treatment, the approach to patients with bone metastases is changing. Previously, these patients were treated palliatively, mainly to decrease the pain intensity. However, with appropriate systemic, surgical and orthopedic treatment, patients with bone metastases often live for many years. Therefore, proper diagnosis and appropriate orthopedic treatment can significantly improve patients’ prognosis. On the other hand, poor qualification for surgery and selection of the wrong treatment method contribute to shortening the patients’ survival. Hence, knowledge of the diagnosis and qualification of patients for surgical treatment is essential in the practice of an orthopedist. In the presented review, the authors focused on summarizing the knowledge in the field of diagnostics, qualification for surgical treatment and orthopedic treatment methods for patients with bone diaphysis metastases.

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4

Kenis, Vladimir M., Alyona N. Melchenko, and Anna V. Zaletina. "Lynn Taylor Staheli (1933 - 2021) - in memory of the outstanding pediatric orthopedic surgeon of our time." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 9, no. 3 (October 4, 2021): 388–89. http://dx.doi.org/10.17816/ptors79505.

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Lynn Taylor Staheli is Professor Emeritus at the University of Washington, a distinguished pediatric orthopedic surgeon, author of numerous studies and books, and a major contributor to the development of pediatric orthopedics. Professor Staheli was a founding editor of the Journal of Pediatric Orthopaedics and founder of Global HELP. In recent years he has been active in the promotion of modern approaches in pediatric orthopedics. Lynn Taylor Staheli passed away on August 9, 2021. He was 87 years old.

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5

Rajan, David V., Munis Ashraf, Navya Challumuri, and S. K. Sahanand. "History of arthroscopy in India: Origins and evolution." Journal of Arthroscopic Surgery and Sports Medicine 1 (July 15, 2020): 5–10. http://dx.doi.org/10.25259/jassm_22_2020.

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The practice of arthroscopy in India had started as early as 1978; and during the same year, the Indian chapter of the International Arthroscopy Association was drafted alongside other countries such as Australia and Brazil. The subspecialty of arthroscopy has been a boon to both; the orthopedic surgeon and the patient. The advent of arthroscopy has enabled the orthopedic surgeon to clearly visualize and delineate the extent of disease, with minimal invasion. Moreover, the patient is benefited with rapid recovery and an early return to activities. The present-day arthroscopic surgeries include diagnostic arthroscopy, ligament reconstruction, cartilage repair, and labral repairs and have undoubtedly evolved into a glamorous subspecialty in orthopedics. However, before the technological advancements, the technique of arthroscopy had modest origins. This review traverses through the history of arthroscopy with special emphasis on the advances of arthroscopy in India.

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6

Glinkowski, Wojciech Michał. "Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown—Individual Observation." International Journal of Environmental Research and Public Health 19, no. 9 (April 29, 2022): 5418. http://dx.doi.org/10.3390/ijerph19095418.

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The COVID-19 pandemic has caused a substantial intensification of the telemedicine transformation process in orthopedics since 2020. In the light of the legal regulations introduced in Poland, from the beginning of the SARS-CoV-2 pandemic, physicians, including orthopedic surgeons, have had the opportunity to conduct specialist teleconsultations. Teleconsultations increase epidemiological safety and significantly reduce the exposure of patients and medical staff to direct transmission of the viral vector and the spread of infections. The study aimed to describe diagnoses and clinical aspects of consecutive orthopedic teleconsultations (TC) during the pandemic lockdown. The diagnoses were set according to the International Classification of Diseases (ICD-10). Hybrid teleconsultations used smartphones and obligatory Electronic Health Record (EHR) with supplemental voice, SMS, MMS, Medical images, documents, and video conferencing if necessary. One hundred ninety-eight consecutive orthopedic teleconsultations were served for 615 women and 683 men (mean age 41.82 years ± 11.47 years). The most frequently diagnosed diseases were non-acute orthopedic disorders “M” (65.3%) and injuries “S” (26.3%). Back pain (M54) was the most frequent diagnosis (25.5%). Although virtual orthopedic consultation cannot replace an entire personal visit to a specialist orthopedic surgeon, in many cases, teleconsultation enables medical staff to continue to participate in providing medical services at a sufficiently high medical level to ensure patient and physician. The unified approach to TC diagnoses using ICD-10 or ICD-11 may improve further research on telemedicine-related orthopedics repeatability. Future research directions should address orthopedic teleconsultations’ practical aspects and highlight legal, organizational, and technological issues with their implementations.

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7

Chan, Kathleen T., Catherine Hayes, Stephen Shusterman, John B. Mulliken, and Leslie A. Will. "The Effects of Active Infant Orthopedics on Occlusal Relationships in Unilateral Complete Cleft Lip and Palate." Cleft Palate-Craniofacial Journal 40, no. 5 (September 2003): 511–17. http://dx.doi.org/10.1597/1545-1569_2003_040_0511_teoaio_2.0.co_2.

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Objective To evaluate the effects of active infant orthopedic treatment on dental arch relationships and determine the effect on maxillary growth in children born with unilateral complete cleft lip and palate (UCCLP). Design The GOSLON Yardstick was used to assess dental models taken on patients treated with and without active infant orthopedics. Patients Two groups of nonsyndromic Caucasian children born with UCCLP (total n = 40), all treated by the same surgeon and ranging from 5 to 10 years of age, were evaluated. Interventions One group had a Latham dentomaxillary alignment (DMA) appliance inserted at 5 to 6 weeks of age, after which a lip-nasal adhesion was performed at an average age of 3.5 months. This was followed by more definitive nasolabial repair at the average age of 5.9 months. Those patients treated without preoperative orthopedics underwent a lip-nasal adhesion at average age 1.5 months followed by nasolabial repair at average age 5.1 months. Main Outcome Measures Randomized assessments using the GOSLON Yardstick were done independently at two separate times by three different examiners. Differences in GOSLON scores between the active orthopedic group and nonorthopedic group were evaluated by both categorical and continuous statistical analyses. Results The mean GOSLON score was 3.30 for the orthopedic group and 3.21 for the nonorthopedic group. There was no significant group difference in the modal scores of the two groups. Conclusions This study showed that active infant orthopedics does not affect the dental arch relationships in preadolescent children with repaired UCCLP, compared with a similar group treated without orthopedic intervention at this center.

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8

Kurygin, Al A., V. A. Neverov, and V. V. Semenov. "Professor Roman Romanovich Vreden (1867–1934) (on the 155<sup>th</sup> anniversary of his birth)." Grekov's Bulletin of Surgery 181, no. 6 (December 27, 2022): 7–11. http://dx.doi.org/10.24884/0042-4625-2022-181-6-7-11.

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An outstanding orthopedic traumatologist and military field surgeon, scientist and teacher, one of the founders of orthopedics in Russia, founder and long-term director of the St. Petersburg Orthopedic Institute (1906–1924), organizer of the first Department of Pediatric Surgery in Russia (1933) and creator of a large scientific school of orthopedic traumatologists, Professor Roman Romanovich Vreden was born on March 9 (21), 1867 in St. Petersburg in the family of a well-known otorhinolaryngologist, Professor Robert Robertovich Vreden. From childhood, Roman chose the profession of a doctor for himself, and after graduating with a gold medal from the First Classical Gymnasium in St. Petersburg in 1885, he entered the Imperial Military Medical Academy. After graduating from the academy in 1890, he passed the competition and left for further development of the specialty as an adjunct at the Department and Clinic of Hospital Surgery founded by N. I. Pirogov and led by Professor V. A. Ratimov. In 1893, R. R. Vreden successfully defended his dissertation for the degree of Doctor of Medicine on the topic: «On the etiology of cystitis», after which he was sent to Kiev, where from 1893 to 1896, he worked as a resident at the Kiev Military Hospital, headed the Surgical and Ear Departments there. In 1896, Roman Romanovich returned to the Military Medical Academy and received the position of senior assistant in the Hospital Surgical Clinic of V. A. Ratimov. In 1898, R. R. Vreden was awarded the academic title of Privatdozent. In 1902, in connection with the retirement due to illness of V. A. Ratimov, a competition was held to fill the position of the head of the Department of Hospital Surgery, but R. R. Vreden lost to S. P. Fedorov in it, after which he left the Department. In 1902–1904, he was a leading surgeon and director of the French Hospital in St. Petersburg and a surgical consultant at the Nikolaev Military Hospital. In 1903, R. R. Vreden was appointed an official for special assignments at the Main Military Medical Directorate. In February 1904, the Russo-Japanese War began and R. R. Vreden was sent to the Far East. In March 1905, Roman Romanovich returned to St. Petersburg, until 1906, served as head of the faculty surgical clinic of the Women’s Medical Institute. In July 1906, Roman Romanovich was appointed the first director of the first Russian Orthopedic Institute in St. Petersburg. R. R. Vreden can rightfully be considered the founder of operative orthopedics in our country. Such surgical interventions as arthrotomy, arthroplasty, arthrodesis, bone and joint resections, tendon and bone plasty, osteotomy, open reduction of dislocations and others were widely performed at the Institute. In 1911, Roman Romanovich was elected a professor at the Psychoneurological Institute and created the Department of Orthopedics on the basis of his Institute. In 1912, he organized training in orthopedics for doctors at the Clinical Institute of the Grand Duchess Elena Pavlovna, and in 1918, he created and headed the Department of Orthopedics at the First Petrograd Medical Institute. In 1925, the «Practical Guide to Orthopedics» was published, which summed up the 18-year activity of R. R. Vreden in this field of medicine. Roman Romanovich created one of the first and largest scientific schools of orthopedic surgeons in our country. Professor Roman Romanovich Vreden died in Leningrad on February 7, 1934 and was buried at the Smolensk Lutheran cemetery. In 1967, the Leningrad Research Institute of Traumatology and Orthopedics was named after R. R. Vreden.

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9

Abdulkhabirov, M. "ILIZAROV – FOUNDER OF DISTRACTION OSTEOGENESIS." East European Scientific Journal 3, no. 4(68) (May 14, 2021): 11–20. http://dx.doi.org/10.31618/essa.2782-1994.2021.3.68.23.

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The article analyzes the unique personality of the XX century, the outstanding Soviet orthopedic surgeon-Gavriil Abramovich Ilizarov. The evolutionary process of the formation and development of the Ilizarov method in traumatology and orthopedics at the domestic and world level is shown. The undeniable advantages of the external fixation system developed by Ilizarov are revealed. The design of the Ilizarov compression-distraction apparatus is considered. Being familiar with G.A. Ilizarov, the author shares his memories about him, describes the biological and mechanical features of the influence on the bone and other tissues of the Ilizarov system, which has become a classic and internationally recognized in the treatment of patients with fractures, pathological conditions of the musculoskeletal system, congenital and post-traumatic orthopedic deformities of the limbs.

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10

Shaposhnikov, Yu G. "75th Anniversary of the Central Scientific Research Institute of Traumatology and 3 Orthopaedics named after N.N. Priorov." N.N. Priorov Journal of Traumatology and Orthopedics 3, no. 3 (September 15, 1996): 3–15. http://dx.doi.org/10.17816/vto101781.

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The birthday of the N.N. Priorov Central Research Institute of Traumatology and Orthopedics. N.N. Priorov was born on April 22, 1921, when the Medical and Orthopedic Institute was opened in Moscow, house 16, Teply Pereulok. Its main purpose was to render aid to invalids of the First World War and the Civil War. The initiative to create the institute belonged to Prof. V.N. Rozanov, a major general surgeon, and Nikolai Nikolaevich Priorov, a young doctor, a former assistant of V.N. Rozanov, was appointed chief physician.

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11

Muzzammil, Muhammad, Syed Jahanzeb, Ali Asghar, Saadia Jabbar, and Hira Waheed. "Impact of the COVID-19 pandemic on orthopedic surgeon in Pakistan." International Journal of Research in Orthopaedics 7, no. 1 (December 23, 2020): 12. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20205557.

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<p><strong>Background:</strong> The objective of our study is to assess the impact of COVID-19 pandemic on clinical practice as well as psychological impact on orthopedic surgeons of Pakistan.</p><p><strong>Method</strong>: An online survey involving orthopedic surgeons through social media platforms like WhatsApp and Facebook and also through email, to assess the impact of COVID-19 pandemic. Our survey also aims to evaluate their state of mind and physical as well as emotional wellbeing in the wake of COVID-19 pandemic.</p><p><strong>Results</strong>: Among 77 respondents, mostly 31 (40.3%) were consultant and mostly 28 (36.4%) having experience in field of orthopedics was between 5-10 years. This data revealed 48 (62.3%) respondents did not received any specific training or recommendations about COVID pandemic from their institute and only 37 (48.1%) reported they are well informed on latest COVID guidelines. Interestingly, this data revealed the willingness of orthopedic surgeons 30 (39%) to take care of COVID-19 positive patients in ICU.</p><p>67 (87%) feel anxious, stressed, furious, angry or depressed due to pandemic and most common fear among them was to infect their family members followed by getting infected and loss of their life and health. 40 (51.9%) did not think their institute is well equipped to deal COVID pandemic.</p><p><strong>Conclusions</strong>: Orthopedic community nevertheless have to play an important role in the face of an increasing psychological and emotional stress which comes from working in a post COVID era. The dread of getting infected while treating and the sinking feeling of spreading the contagion to their loved ones has put a massive toll on the emotional well-being and needs to be addressed through open and fair discussion.</p>

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12

Pike, Mallory, Lucie Campagna-Wilson, Kim Sears, Robert Warren, Douglas Legay, and Daniel Trudel. "Pilot study: The effectiveness of physiotherapy-led screening for patients requiring an orthopedic intervention." Journal of Military, Veteran and Family Health 7, no. 2 (May 1, 2021): 3–15. http://dx.doi.org/10.3138/jmvfh-2020-0060.

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LAY SUMMARY In Canada, patients can wait over a year to be seen by an orthopedic surgeon. To reduce wait times, physiotherapists have been employed in some practice areas to triage patients prior to being seen by an orthopedic surgeon. This study looked at different forms of triage by using physiotherapists to screen electronic medical records (EMR) to determine if patients needed orthopedic intervention or conservative management. To guide the physiotherapists, a screening tool was created. The study compared the recommendations of the physiotherapists with those of an orthopedic surgeon. The results showed that, most of the time, physiotherapists using the screening tool successfully identified whether a patient needed to see an orthopedic surgeon or could be treated with physiotherapy. This type of screening process may decrease wait times to see an orthopedic surgeon and improve access to physiotherapy or other treatments.

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13

Oladeji, Lasun O., Brent A. Ponce, John R. Worley, and James A. Keeney. "Mentorship in Orthopedics: A National Survey of Orthopedic Surgery Residents." Journal of Surgical Education 75, no. 6 (November 2018): 1606–14. http://dx.doi.org/10.1016/j.jsurg.2018.04.007.

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14

Zachariou, Eleftherios, Athanasios Galanis, and Evangelos Mavrommatis. "Edward Hickling Bradford (1848-1926): The Founder of Pediatric Orthopedics in America." Surgical Innovation 29, no. 2 (January 6, 2022): 299–300. http://dx.doi.org/10.1177/15533506211066426.

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Edward Hickling Bradford (1848-1926) is considered as 1 of the most important figures in American and world orthopedics during 19th and early 20th century. His teaching ability, his gifted surgical skills and his innovations in orthopedics attracted the interest of the world orthopedic’s community and gave him a long lasting reputation. But most of all he is considered as the founder of pediatric orthopedics in America.

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15

Gosens, T., and B. L. den Oudsten. "Psychology in orthopedics and traumatology: an instructional review." EFORT Open Reviews 8, no. 5 (May 1, 2023): 245–52. http://dx.doi.org/10.1530/eor-23-0038.

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Mental health is important as a predictor of outcomes after orthopedic treatment. Psychological parameters (e.g. expectations, coping strategies, personality) are as important as biological and mechanical factors in the severity of musculoskeletal complaints and treatment results. Orthopedic surgeons should not only treat physical conditions but also address psychosocial factors. If necessary, they should refer to clinical psychologists. Multidisciplinary approach, patient-oriented treatment, (psycho)education, emotional support, and teaching coping strategies are elements of psychosocial attention within orthopedics and traumatology.

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16

Nielsen, Alex W., Brian C. Law, Glenn G. Shi, and Jonathan C. Kraus. "Patient Knowledge of Provider Training Background and Preferences for Treatment of Foot and Ankle Conditions." Foot & Ankle Orthopaedics 4, no. 4 (October 1, 2019): 2473011419S0032. http://dx.doi.org/10.1177/2473011419s00321.

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Category: Professional, Patient Care Introduction/Purpose: Differences exist in the training backgrounds of medical providers who treat foot and ankle disorders. Considerable overlap and similarities also exist between podiatric and orthopaedic surgeons, though patients may be unaware of the differences. It is not known to what extent professional training influences how patients seek care. The purpose of this study is to understand patients’ knowledge of the differences in professional training background between podiatry and orthopedic surgery and to determine which factors are important to patients when selecting a provider. Methods: Patient survey data was gathered from Froedtert Memorial Lutheran Hospital and the Mayo Clinic. A 27-question survey was administered to new patients who were referred to the foot and ankle service in an orthopedic department at both institutions. Survey questions included data on patient demographics, patient opinion, and knowledge of differences between podiatry, orthopedics, and other foot and ankle providers. Patients were grouped by provider preference. Univariate and multivariate regressions were used to characterize the study population and determine provider preference. Significance was determined through t-tests, Fisher’s Exact test, and chi-square tests. Results: Of the 169 patients who completed the entire survey, 99 chose “orthopedic surgeon” as their provider of preference for any foot or ankle injury. Between the groups, there was no significant difference in age, healthcare affiliation, previous podiatric visits, level of education, and perceived knowledge about the differences between the two specialties (Table 1). For patients who listed podiatry as their preference, they were less likely to expect their doctor to have completed residency (76.2% vs. 90.7-94.9%, p=0.03). Patients preferred an orthopedic surgeon over a podiatrist for ankle (63.3% vs. 9.5%, p<0.001) and knee injuries (82.8% vs. 5.8%, p<0.001), while they preferred a podiatrist for toe pain (42.6% vs. 27.8%, p<0.001). 76.3% of patients thought orthopaedic surgeons and podiatrist undergo the same professional training. Conclusion: Foot and ankle patients have poor understanding of the different medical and surgical training backgrounds between a podiatrist and orthopedic surgeon. The majority of patients believe podiatrist and orthopaedic surgeons have the same professional training. However, patients also believed orthopaedic surgeons have a longer training period, though it was still underestimated by three years. Patients preferred care for podiatrist with conditions affecting the toes and orthopaedic surgeons for all other conditions.

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17

Roberts-Harry, Dai, Gunvor Semb, Iain Hathorn, and Norman Killingback. "Facial Growth in Patients with Unilateral Clefts of the Lip and Palate: A Two-Center Study." Cleft Palate-Craniofacial Journal 33, no. 6 (November 1996): 489–93. http://dx.doi.org/10.1597/1545-1569_1996_033_0489_fgipwu_2.3.co_2.

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Two groups of 10-year-old patients with complete unilateral clefts of the lip and palate were examined in this study. Two centers; Bristol, U.K. and Oslo, Norway, who had different treatment regimens were used. The groups comprised 40 patients from Oslo and 32 from Bristol. The groups were matched, in proportion to the size of the groups, for age, sex, and presence of Simonart's bands. In Oslo, a Millard lip repaired was performed at 3 months of age with a von Langenbeck palatal repair at 18 months, no presurgical orthopedics was employed and there was no primary nasal correction. The Bristol center also repaired the lip at 3 months with a Millard type repair but also performed a radical nasal correction at the same time. The palate was repaired at 6 months with a Veau repair, and presurgical orthopedics using a pinned arch orthopedic plate was carried out. In addition, the volume of primary repairs per surgeon was much higher in Oslo, and a much stricter treatment protocol was used compared with Bristol. Lateral cephalograms obtained within 1 year of the child's tenth birthday were digitized, and the craniofacial morphology of the two groups was compared. Significant differences in maxillary growth and soft tissue profile were noted with a much more retruded mid-face and flatter nasiolabial angle in the Bristol group. The main factors for the better results in Oslo are suggested to be the absence of presurgical orthopedics, no radical nasal correction, the high volume of operations performed per surgeon, and the stricter protocol.

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18

Kuslich, Stephen D., and Gregory F. Skorczewski. "Office Automation for the Orthopedic Surgeon." Orthopedic Clinics of North America 17, no. 4 (October 1986): 591–98. http://dx.doi.org/10.1016/s0030-5898(20)32305-1.

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19

Malek, M. Mike, Melvin M. Friedman, and William Beach. "Correct coding for the orthopedic surgeon." Clinics in Sports Medicine 21, no. 2 (April 2002): 237–44. http://dx.doi.org/10.1016/s0278-5919(02)00004-2.

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20

Boudreau, Sellers C., Alexander R. Dombrowsky, Alexandra M. Arguello, Stephen Gould, Eugene W. Brabston, Brent A. Ponce, and Amit M. Momaya. "Patient Perception of Orthopedic Surgeon Reimbursement." Southern Medical Journal 113, no. 4 (April 2020): 191–97. http://dx.doi.org/10.14423/smj.0000000000001081.

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21

Kamath, Atul F., Robert Molloy, and Jonathan Schaffer. "Orthopedic Surgeon Payment For Joint Replacement." Health Affairs 38, no. 11 (November 1, 2019): 1950. http://dx.doi.org/10.1377/hlthaff.2019.01114.

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Urwin, John W., and Ezekiel J. Emanuel. "Orthopedic Surgeon Payment: The Authors Reply." Health Affairs 38, no. 11 (November 1, 2019): 1951. http://dx.doi.org/10.1377/hlthaff.2019.01168.

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23

Madejczyk, Jakub, and Ireneusz Urbaniak. "Periprosthetic fractures in the hip joint – own study by the Department of Orthopedics and Traumatology in Kalisz." Chirurgia Narządów Ruchu i Ortopedia Polska 86, no. 1 (April 1, 2021): 18–29. http://dx.doi.org/10.31139/chnriop.2021.86.1.4.

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Every year, the number of total hip replacement treatments increases and along with it, so does the number of local and systemic complications, including periprosthetic fractures. These fractures usually occur among elderly people with deteriorated bone quality and other general and neurological disorders. Treatment of periprosthetic femoral fractures imposes a difficult and complex medical problem, which requires adequate experience and a rational combination of traumatological and orthopedical knowledge from the surgeon. In this article we review management of periprosthetic femoral fractures in the Department of Orthopedics and Traumatology in Kalisz.

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Goodrich, Eric, and Richard P. Goodrich. "Orthopedic Surgery and Flight Surgery: Income Differences Between the Navy Health Professions Scholarship Program and Civilian Orthopedic Surgery." Military Medicine 185, no. 11-12 (November 1, 2020): e1913-e1918. http://dx.doi.org/10.1093/milmed/usaa214.

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Abstract Introduction The purpose of this study to analyze the financial impact of choosing a civilian or military orthopedic surgery career. It will examine the most common scenarios to become an orthopedic surgeon in the Navy Health Professions Scholarship Program to include becoming a flight surgeon. To the authors’ knowledge, there is no peer-reviewed literature that financially analyzes the most common scenarios for a Navy Health Professions Scholarship Program scholarship recipient to become an orthopedic surgeon. Materials and Methods Salaries for Navy orthopedic surgeons, residents, and flight surgeons were recorded using the 2020 Defense Finance and Accounting Service pay tables and Navy Fiscal Year 2019 Medical Corps Special Pay Guidance. The median income of civilian orthopedic surgeons was recorded using Salary.com. The present value (PV) and future value (FV) were calculated using the Consumer Price Index-U and average Department of Defense pay increases over the past 20 years. Six common scenarios were utilized to calculate the PV and FV of civilian compared to Navy orthopedic surgeons. Results The two highest earning net FVs among all Navy scenarios were those surgeons who kept their Navy tour to 5 years or less (flight surgeon tour/separate or civilian deferment/separate). The civilian throughout scenario had the highest net FV of $19,974,673 after retiring at the age of 65. Flight surgeon tour/separate and civilian deferment/separate scenarios only made $843,751 and $1,401,630 less respectively than a pure civilian career due to the tax shelter afforded by the military pay. All Navy retirement scenarios to include Navy throughout, civilian deferment/Navy throughout, flight surgeon tour/Navy throughout resulted in a net FV less than $17,700,000. Civilian residency/deferment and retiring in the Navy had the worst net FV among all scenarios. Conclusions It was found that the shorter tours in the Navy had a higher net FV than those who made the Navy a career in orthopedic surgery. Flight surgery is a rewarding operational experience with among the highest net FV among Navy scenarios and is only slightly less than the net FV of a pure civilian career. However, it can be more difficult to apply for civilian orthopedic surgery after serving a flight surgeon tour. Lastly, the net FV was very similar between a civilian orthopedic surgeon career and the shorter tours served in the Navy. Factors such as higher civilian income with associated loan repayment/signing bonuses makes the civilian orthopedic surgery route the best financial option. This study will help those medical students considering a military versus a civilian career in orthopedic surgery and aid in Department of Defense recruitment/retention.

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Vicenti, Giovanni, Davide Bizzoca, Elisa Pesare, Michele Grasso, Walter Ginestra, and Biagio Moretti. "Second and Third Pandemic Waves in Apulia: How COVID-19 Affected Orthopedic and Trauma Care—A Single-Center Study." Journal of Clinical Medicine 11, no. 21 (November 3, 2022): 6526. http://dx.doi.org/10.3390/jcm11216526.

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Purpose: In orthopedics and traumatology, as a direct consequence of the COVID-19 first wave, there was a massive reorganization and a stop to all elective activities, which were postponed. In this study, we aimed to analyze the impact of the COVID-19 pandemic on orthopedic surgery in Apulia during the second wave, from March to June 2021 (when Apulia was under social distancing restrictions), and during the third wave, from September to December 2021 (when Apulia was under no restrictions). We compared these months to the same periods in 2019 for an evaluation of the surgical decrease during the pandemic period. Methods: We performed a retrospective analysis of major orthopedic procedures, day-surgery procedures and urgent procedures (trauma and non-traumatic amputation) performed during the second and third waves of the pandemic in our clinic, and we compared these data with the same procedures performed in the corresponding periods of 2019, before the pandemic. Results: Surgical activity was significantly decreased during both periods; the only increase in surgical activity in 2021 compared to 2019 was in total hip, knee and shoulder arthroplasty, with a surge of +7.69% registered in the period September–December 2021. Conclusions: Longer waiting lists and limited healthcare resources were the big challenges for the orthopedic community, and they still represent a substantial issue to confront today.

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Baindurashvili, Alexey G. "Andrey Ivanovich Krasnov. 29.04.1947–15.11.2021." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 9, no. 4 (December 15, 2021): 491–92. http://dx.doi.org/10.17816/ptors88835.

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On November 15, 2021, at the age of 75, an outstanding orthopedic traumatologist, Honored Doctor of the Russian Federation, Candidate of Medical Sciences, associate professor of the Educational and Methodological Department of the FSBI "NMIC of Pediatric Traumatology and Orthopedics named after G. I. Turner" of the Ministry of Health of Russia, associate Professor of the Department of Pediatric Traumatology and Orthopedics of the I. I. Mechnikov Northwestern State Medical University of the Ministry of Health of Russia Andrey Ivanovich Krasnov passed away.

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MURYLEV, V. Y., G. L. SOROKINA, E. V. KURILINA, L. R. IVANENKO, and G. A. KUKOVENKO. "OSTEOMALACIA IN THE PRACTICE OF ORTHOPEDIC SURGEON." Department Of Traumatology And Orthopedics 2 (December 2019): 11–20. http://dx.doi.org/10.17238/issn2226-2016.2019.2.11-20.

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Bert, Jack M. "Ancillary Services Available to the Orthopedic Surgeon." Sports Medicine and Arthroscopy Review 12, no. 4 (December 2004): 254–57. http://dx.doi.org/10.1097/01.jsa.0000133285.15560.b3.

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Hennrikus, William L., and Charles T. Mehlman. "The Community Orthopedic Surgeon Taking Trauma Call." Journal of Orthopaedic Trauma 33 (August 2019): S6—S11. http://dx.doi.org/10.1097/bot.0000000000001545.

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Davis, Daniel E. "Importance of Advocacy from the Orthopedic Surgeon." Orthopedic Clinics of North America 52, no. 1 (January 2021): 77–82. http://dx.doi.org/10.1016/j.ocl.2020.08.005.

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Grottkau, Brian E. "Perspective from a pediatric orthopedic deformity surgeon." Skeletal Radiology 48, no. 5 (February 6, 2019): 697. http://dx.doi.org/10.1007/s00256-019-3153-3.

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Bert, Jack M. "Ancillary Services Available to the Orthopedic Surgeon." Orthopedic Clinics of North America 39, no. 1 (January 2008): 1–4. http://dx.doi.org/10.1016/j.ocl.2007.08.001.

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Trasolini, Nicholas A., Braden M. McKnight, and Lawrence D. Dorr. "The Opioid Crisis and the Orthopedic Surgeon." Journal of Arthroplasty 33, no. 11 (November 2018): 3379–82. http://dx.doi.org/10.1016/j.arth.2018.07.002.

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Dhillon, Mandeep Singh, Aman Hooda, Thomas Fintan Moriarty, and Siddhartha Sharma. "Biofilms—What Should the Orthopedic Surgeon know?" Indian Journal of Orthopaedics 57, no. 1 (December 20, 2022): 44–51. http://dx.doi.org/10.1007/s43465-022-00782-6.

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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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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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Fenske, Fabian, Leah Krause, Stephan Meyer, Benjamin Kujat, Jacqueline Repmann, Michael Neuhaus, Rüdiger Zimmerer, et al. "Oral Health Screening for Risk Reduction for Early Periprosthetic Joint Infections of Hip and Knee Endoprostheses—Results of a Prospective Cohort Study." Journal of Clinical Medicine 12, no. 13 (July 3, 2023): 4451. http://dx.doi.org/10.3390/jcm12134451.

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This prospective observational study had two aims: (I) to assess whether a preoperative dental screening before endoprosthesis (EP) implantation with need-based dental intervention would decrease the prevalence of periprosthetic joint infection (PJI) and (II) to evaluate whether instructed orthopedic surgeons would achieve similar results in oral screening as dentists. The preoperative oral health statuses of the patients, prior to EP insertion, were either evaluated by the patients’ general dentists (Ia) or, if the patient had not visited a general dentist, by an instructed orthopedic surgeon (Ib). Both the dentist and orthopedic surgeon used standardized risk estimation (low risk, moderate risk, and high risk) for an oral-health-related infectious complication after EP insertion, including a recommendation for further management of the patient. If required, a need-based dental rehabilitation was performed. In addition, retrospective data evaluation of a comparison group (II) was performed, which had not been screened orally preoperatively. A total of 777 patients (screening group (I): n = 402, of which 229 were screened by a dentist (Ia), 173 were screened by an orthopedic surgeon (Ib); comparison group (II): n = 375) were included. No general association between early infection rate and preoperative oral screening in general was found (1% PJI in screening group (I), 1.6% PJI in comparison group (II); p = 0.455). However, screening performance (dentist vs. orthopedic surgeon) had a significant impact on the prevalence of developed PJIs (p = 0.021). Thereby, 100% of observed infections in the screening group (I) occurred in the group with previous oral screening by an orthopedic surgeon (Ib). Furthermore, the C-reactive protein (CRP) value at discharge was significantly lower when general preoperative oral screening had been performed (group I vs. group II, p = 0.03). Only preoperative oral screening by a dentist had the potential to reduce oral-focus-associated EP infections; therefore, increased attention should be paid to the further promotion of interdisciplinary work between dentists and orthopedic surgeons. Dental screenings, using objectifiable criteria, as applied in this study, seem reasonable but require further validation in larger cohorts.

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Stern, Caryn A., Zsolt T. Stockinger, William E. Todd, and Jennifer M. Gurney. "An Analysis of Orthopedic Surgical Procedures Performed During U.S. Combat Operations from 2002 to 2016." Military Medicine 184, no. 11-12 (April 24, 2019): 813–19. http://dx.doi.org/10.1093/milmed/usz093.

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Abstract Introduction Orthopedic surgery constitutes 27% of procedures performed for combat injuries. General surgeons may deploy far forward without orthopedic surgeon support. This study examines the type and volume of orthopedic procedures during 15 years of combat operations in Iraq and Afghanistan. Materials and Methods Retrospective analysis of the US Department of Defense Trauma Registry (DoDTR) was performed for all Role 2 and Role 3 facilities, from January 2002 to May 2016. The 342 ICD-9-CM orthopedic surgical procedure codes identified were stratified into fifteen categories, with upper and lower extremity subgroups. Data analysis used Stata Version 14 (College Station, TX). Results A total of 51,159 orthopedic procedures were identified. Most (43,611, 85.2%) were reported at Role 3 s. More procedures were reported on lower extremities (21,688, 57.9%). Orthopedic caseload was extremely variable throughout the 15-year study period. Conclusions Orthopedic surgical procedures are common on the battlefield. Current dispersed military operations can occur without orthopedic surgeon support; general surgeons therefore become responsible for initial management of all injuries. Debridement of open fracture, fasciotomy, amputation and external fixation account for 2/3 of combat orthopedic volume; these procedures are no longer a significant part of general surgery training, and uncommonly performed by general/trauma surgeons at US hospitals. Given their frequency in war, expertise in orthopedic procedures by military general surgeons is imperative.

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Barfield, Matthew, J. Benjamin Jackson, and Tyler Gonzalez. "A cost analysis of ankle fractures treated by orthopedic surgeons with or without foot and ankle fellowship training at ambulatory surgery centers and hospitals." SAGE Open Medicine 10 (January 2022): 205031212211286. http://dx.doi.org/10.1177/20503121221128690.

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Introduction: Ankle fractures are commonly treated by orthopedic surgeons. Fellowship versus non-fellowship training often adds a different perspective, use of specialty-specific implants, comfort with outpatient procedures, and may contribute to cost differences between surgeons. To assess the impact of fellowship training on the value of care provided, the difference in cost of ankle fracture open reduction internal fixation procedures between foot and ankle trained orthopedic surgeons and non-foot and ankle trained orthopedic surgeons over the past 10 years was retrospectively evaluated. We additionally evaluated the cost differences of ankle fracture open reduction internal fixations between hospitals, hospital-owned ambulatory surgery centers, and physician-owned ambulatory surgery centers. The study also assessed the costs effects of inpatient versus outpatient procedures and ankle open reduction internal fixation procedure volume of the surgeon observed within the timeframe of the study. Methods: Patient data was collected from electronic medical records and billing documents for patients who underwent an ankle open reduction internal fixation procedure performed by an orthopedic surgeon in our hospital system and local hospital-owned ambulatory surgery centers between the years 2010 and 2020. Data were also collected from a physician-owned ambulatory surgery center for patients who underwent an ankle open reduction internal fixation procedure performed by an orthopedic surgeon between the years 2015 and 2020. Statistical analyses were performed to observe potential cost differences among all variables. Results: Procedures performed by fellowship-trained orthopedic surgeons were significantly less costly than those performed by non-foot and ankle trained orthopedic surgeons when performed at ambulatory surgery centers but not at hospitals. Procedures performed at ambulatory surgery centers were found to be significantly less costly than those performed at hospitals. In addition, it was noted that procedures performed at hospital-owned ambulatory surgery centers were less costly than physician-owned ambulatory surgery centers. It was also found that procedure cost decreased with an increase in surgeon volume. Conclusion: An ankle fracture open reduction internal fixation performed by a foot and ankle trained orthopedic surgeon in a hospital-owned ambulatory surgery center is the lowest cost option available, and an increase in volume of open reduction internal fixations is associated with a further decrease in cost when within our hospital system between the years 2010 and 2020.

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Grayson, Barry H., and Court B. Cutting. "Presurgical Nasoalveolar Orthopedic Molding in Primary Correction of the Nose, Lip, and Alveolus of Infants Born with Unilateral and Bilateral Clefts." Cleft Palate-Craniofacial Journal 38, no. 3 (May 2001): 193–98. http://dx.doi.org/10.1597/1545-1569_2001_038_0193_pnomip_2.0.co_2.

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This addendum to the “State of the Art Dental Treatment of Predental and Infant Patients With Clefts and Craniofacial Anomalies,” by Prahl-Andersen (Cleft Palate Craniofac J. 2000;37:528–532), offers an extended perspective on this controversial subject. This article reviews the role of combined nasal and alveolar (nasoalveolar) molding in the primary correction of the nose, lip, and alveolus of infants born with unilateral and bilateral clefts. The background of presurgical nasoalveolar orthopedic molding, the technique, and the literature are presented. The proposed benefits of treatment from the traditional techniques of presurgical orthopedics have been shown to be unsubstantiated (Kuijpers-Jagtman and Prahl, 1996). A close comparison of the proposed benefits of earlier forms of presurgical orthopedics, along with those of the current technique of nasoalveolar molding, is presented.

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Sajid, Dr Imran, Dr Sandeep Kumar, Dr Javed Jameel, Dr Sukhvinder Singh, and Dr Ashok Kumar. "Orthopedic Surgeon and Scientific Publications: Understanding the Symbiosis." IOSR Journal of Dental and Medical Sciences 13, no. 3 (2014): 34–42. http://dx.doi.org/10.9790/0853-13323442.

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Rupp, Robert. "The Changing Role of the Military Orthopedic Surgeon." Orthopedics 22, no. 12 (December 1999): 1119–20. http://dx.doi.org/10.3928/0147-7447-19991201-03.

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Singhal, Sunil, Carl A. Johnson, and Robert Udelsman. "Primary Hyperparathyroidism: What Every Orthopedic Surgeon Should Know." Orthopedics 24, no. 10 (October 2001): 1003–9. http://dx.doi.org/10.3928/0147-7447-20011001-26.

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44

Jernigan, Edward W., and Robert J. Esther. "Soft Tissue Masses for the General Orthopedic Surgeon." Orthopedic Clinics of North America 46, no. 3 (July 2015): 417–28. http://dx.doi.org/10.1016/j.ocl.2015.02.009.

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Bovid, Karen M., and Mary D. Moore. "Juvenile Idiopathic Arthritis for the Pediatric Orthopedic Surgeon." Orthopedic Clinics of North America 50, no. 4 (October 2019): 471–88. http://dx.doi.org/10.1016/j.ocl.2019.06.003.

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46

Comeau, P. "Crisis in orthopedic care: surgeon and resource shortage." Canadian Medical Association Journal 171, no. 3 (August 3, 2004): 223. http://dx.doi.org/10.1503/cmaj.1041073.

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Kåss, Erik. "Collaboration Between Rheumatologist and Orthopedic Surgeon—a Necessity." Scandinavian Journal of Rheumatology 16, no. 1 (January 1987): 257–60. http://dx.doi.org/10.3109/03009747009165378.

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48

Kåss, Erik. "Collaboration Between Rheumatologist and Orthopedic Surgeon—a Necessity." Scandinavian Journal of Rheumatology 16, no. 1 (January 1987): 257–60. http://dx.doi.org/10.1080/03009747009165378.

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49

Xu, Tim, Ambar Mehta, Angela Park, Martin A. Makary, and David W. Price. "Association Between Board Certification, Maintenance of Certification, and Surgical Complications in the United States." American Journal of Medical Quality 34, no. 6 (January 17, 2019): 545–52. http://dx.doi.org/10.1177/1062860618822752.

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Physician credentialing processes aim to improve patient safety and quality, but little research has examined their direct relationship with surgical outcomes. Using national Medicare claims for 2009 to 2013, the authors studied the association between board certification and completion of Maintenance of Certification (MOC) requirements and surgeon rates of complications for 8 elective procedures. Exemplar surgeons were defined as those in the lowest decile of complication rates, and outlier surgeons were those in the highest decile. The analysis included 1.9 million procedures performed by 14 598 surgeons (64% orthopedics, 17% general surgery, 11% urology, 7% neurosurgery). Board-certified surgeons were less likely to be outliers (odds ratio 0.79 [0.66-0.94]). However, completion of MOC was not associated with differences in complication rates in orthopedic surgery or urology. Incorporating additional assessment methods into MOC, such as video evaluation of technical skills, retraining on state-of-the-art care, and peer review, may facilitate further improvements in surgical quality.

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Shah, Rajiv. "Indian Foot and Ankle Scenario." Foot & Ankle Specialist 4, no. 6 (December 2011): 390–95. http://dx.doi.org/10.1177/1938640011428788.

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Huge population of aggressively developing country like India is catered by more than 20,000 orthopedic surgeons but with very few dedicated foot & ankle surgeons. This area of orthopedics has not yet established its place as a specialty of medicine. Most of newer treatment concepts & methodologies are yet to establish its place in India in spite of huge suffering population. Challenges are late presentations, delayed diagnosis, neglected cases, malunions, complex deformities & diabetic foot issues. Commonly seen forefoot, midfoot & hindfoot problems in India & their routine care is discussed. Article also addresses very tough but interesting journey of first foot & ankle surgeon of India & story of rise & fall of first Indian foot & ankle centre of excellence. Contribution in form of educational efforts & deep market penetration is deemed from west to uplift Indian foot & ankle scenario which is summed up as: lack of awareness, opportunity and negligence.

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