BACKGROUND The use of intramedullary devices for the management of intertrochanteric fractures has steadily increased without good evidence of their clinical efficacy. This prospective randomized multicenter study was designed to compare the clinical and radiographic outcomes of patients who had been treated with a traditional extramedullary hip screw for an unstable (AO/OTA 31-A2) intertrochan...

The purpose of this study was to evaluate the long-term clinical and radiographic outcomes of posterolateral lumbar fusion for lumbar stenosis cases requiring bilateral facetectomy in conjunction with a laminectomy. The authors evaluated 34 consecutive patients who had undergone a lumbar laminectomy, bilateral partial facetectomy, and posterolateral fusion at a single institution between 1981 a...

Study Design Retrospective review. Objective The purpose of this study was to determine the radiographic impact of a transforaminal lumbar interbody fusion (TLIF) versus a cantilever TLIF technique on segmental lordosis, segmental coronal alignment, and disk height. Methods A retrospective review was done of all patients undergoing TLIF procedures from 2006 to 2011 by three spine surgeons. Trad...

The purpose of this study was to determine the association between common clinical features in general practice, and chest radiographic findings among children with suspected bacterial or viral pneumonia. The study was prospective hospital-based carried out in Northern Thailand, from 2000 to 2001. One thousand three hundred ninety-six children under age five years admitted with suspected pneumo...

PURPOSE This study compares clinical and radiographic outcomes of operatively managed pediatric supracondylar humerus fractures between patients treated by pediatric orthopedists (POs) and patients treated by non-pediatric orthopedists (NPOs). PATIENTS AND METHODS A retrospective cohort study of pediatric patients with surgically managed supracondylar humerus fractures was conducted. For clin...

wound complications following ankle fracture surgery are a major concern. through the use of minimally invasive surgical techniques some of these complications can be mitigated. recent investigations have reported on percutaneous fixation of distal fibula fractures demonstrating similar radiographic and functional outcomes to traditional open approaches. the purpose of this manuscript is to des...

Review scope Included studies compared dietary and/or pharmacologic interventions with placebo, usual care, no treatment, or other active treatment in adults ≥ 18 years of age who had a history of ≥ 1 kidney stone episode. Pharmacologic interventions included prescription medications, over-the-counter medications, and supplements available in the USA. Follow-up had to be ≥ 12 months for clinica...

Background: Hospitals may be under pressure to implement cost saving strategies regarding prosthesis choice. Thismay involve the use of components which are not the first preference of individual surgeons, or those they have littleexperience with. We aim to examine the effect of standardizing the type of femoral stem used in a single trust, anddetermine whether this is safe practice, particular...

CONTEXT Double-row rotator cuff repair methods have improved biomechanical performance when compared with single-row repairs. OBJECTIVE To review clinical outcomes of single-row versus double-row rotator cuff repair with the hypothesis that double-row rotator cuff repair will result in better clinical and radiographic outcomes. DATA SOURCES Published literature from January 1980 to April 20...

Metal-on-metal (MOM) hip articulations represent a potential alternative to conventional metal-on-polyethylene total hip arthroplasty (THA). We performed a systematic review of the peer-reviewed literature in search of studies comparing MOM with conventional primary THA with regard to functional outcomes, radiographic outcomes, and complication rates. Four Level I randomized controlled trials r...