BACKGROUND Osteosarcoma is the most common malignant primary neoplasm of bone. Orthopedic procedures are essential components in the multidisciplinary treatment of osteosarcoma. Limb-salvaging procedures offer adequate disease control comparable to the results obtained by amputations. This review discusses the advantages and disadvantages of the various types of amputations and the limb-salvagi...

BACKGROUND Laparoscopically assisted spinal surgery has been reported in several series to be safe and effective. We completed a retrospective chart review of patients who underwent laparoscopically assisted retroperitoneal spinal surgery. METHODS Between April 1996 and June 2004, 124 patients underwent laparoscopically assisted anterior spinal fusion with a retroperitoneal and gasless approa...

The complete Medicare Part B claims databases for the years 2000 through 2010 were queried. Musculoskeletal procedures were grouped into 12 anatomical or functional groups for multiyear analysis. Utilization rates per 1000 Medicare beneficiaries and spending per Medicare beneficiary were calculated. Compound annual growth rates were used to compare spending trends with national health care spen...

background implant removal is a common procedure in orthopedic surgery which can be associated with many complications such as scar formation, hematoma, nerve injury, infection, and refracture. indications for orthopedic implant removal have declined in recent years. most studies have considered orthopedic hardware removal as an unnecessary procedure in the absence of severe complications such ...

OBJECTIVE This study investigated the incidence and determinants of chronic postsurgical pain (CPSP) in a general surgical patient population. DESIGN This is a prospective cross-sectional study at a university-affiliated clinic/level 1 trauma center. Patients were followed at least 1 year postoperatively. By surgical discipline, procedures were 50% orthopedic/trauma, 33% general (abdominal/vi...

Meniscal injuries are a common cause of knee pain and often an indication for arthroscopy, the most orthopedic surgical procedure in United States. In-office needle arthroscopy (IONA) is described technique with ability to diagnose treat meniscal office. IONA allows diagnosis treatment at significantly deceased cost, both quicker patient recovery, improved satisfaction. The purpose this technic...

Anterior cruciate ligament reconstruction (ACLR) has become a popular surgery in orthopedic practice today, and the technique evolved significantly over time. Surgical procedure, graft choice, fixation systems have varied years. Nonetheless, several challenges like insufficient ligamentization, tunnel enlargement, reestablishment of proprioception remain ACLR. A vision better healing integratio...

Objective: The aim of this study was two fold. To determine the diagnostic reference level (D.R.L.) dose of radiation during dynamic hip screw (D.H.S.) fixation and, to audit the orthopaedic department against this standard. Methods and Materials: A retrospective analysis of 112 consecutive patients between 31st December 2002 and the 6th July 2003, at Darenth Valley Hospital, Dartford, under go...

OBJECTIVE To describe the initial experience of four orthopedic clinics from using Bi-Contact(®) total elbow arthroplasty (TEA), reporting the results and complications of the procedure. METHODS This was a retrospective study, through analysis on the medical records of patients who underwent primary TEA using a prosthesis model developed in conjunction with IOT-HCFMUSP. Forty-six elbows (45 p...

Rapid maxillary expansion (RME) is an effective orthopedic procedure that can be used to address problems concerned with the growth of the midface. This procedure also may produce positive side effects on the general health of the patient. The aim of the present consensus paper was to identify and evaluate studies on the changes in airway dimensions and muscular function produced by RME in grow...