Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2023
Immunofluorescence analysis of sensory nerve endings in the periarticular tissue of the human elbow joint.
To investigate the dynamic aspects of elbow stability, we aimed to analyze sensory nerve endings in the ligaments and the capsule of elbow joints. ⋯ The high density of free nerve endings in the joint capsule indicates that it has pronounced nociceptive functions. Joint position sense is mainly detected by the RCL, AUCL, PUCL, and the PJC. Proprioceptive control of the elbow joint is mainly monitored by the joint capsule and the UCL, respectively. However, the extreme range of motion is primarily controlled by the RCL mediated by Golgi-like endings.
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Arch Orthop Trauma Surg · Jul 2023
Delay of total joint replacement is associated with a higher 90-day revision rate and increased postoperative complications.
Delay of elective surgeries, such as total joint replacement (TJR), is a common procedure in the current pandemic. In trauma surgery, postponement is associated with increased complication rates. This study aimed to evaluate the impact of postponement on surgical revision rates and postoperative complications after elective TJR. ⋯ Level III-retrospective cohort study.
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Arch Orthop Trauma Surg · Jul 2023
Is there a difference in mobility and inpatient physical therapy need after primary total hip and knee arthroplasty? A decade-by-decade analysis from 60 to 99 years.
Extended inpatient rehabilitation (PT) after total hip (THA) and knee arthroplasty (TKA) has a significant impact on total care costs. As patients age, extended PT might be required following THA and TKA. This study examined the relationship between patient age, functional mobility, inpatient PT need, and discharge disposition in THA and TKA patients. ⋯ Patients in their eighth and ninth decade had less improvement in functional mobility during in-hospital rehabilitation and utilized more PT services. However, clinical results in the elderly are still satisfying and the data may be helpful for resource utilization planning and risk-adjustment in value-based payment models.
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Arch Orthop Trauma Surg · Jul 2023
Linguistic tones in MRI reports correlate with severity of pathology for rotator cuff tendinopathy.
Written communication can convey one's emotions, personality, and sentiments. Radiology reports employ medical jargon and serve to document a patients' condition. Patients might misinterpret this medical jargon in a way that increases their anxiety and makes them feel unwell. We were interested whether linguistic tones in MRI reports vary between radiologists and correlate with the severity of pathology. ⋯ Level III, Diagnostic.
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Arch Orthop Trauma Surg · Jul 2023
Medial oblique malleolar osteotomy for approach of medial osteochondral lesion of the talus.
The medial malleolar osteotomy is commonly performed to gain access to the medial talar dome for treatment of osteochondral lesions of the talus. The primary aim of this study was to assess osseous healing based on postoperative radiographs to determine consolidation, non-union and malreduction rates. ⋯ Level III, retrospective cohort study.