Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Dec 2016
Comparative StudyEstimating the Societal Benefits of THA After Accounting for Work Status and Productivity: A Markov Model Approach.
Demand for total hip arthroplasty (THA) is high and expected to continue to grow during the next decade. Although much of this growth includes working-aged patients, cost-effectiveness studies on THA have not fully incorporated the productivity effects from surgery. ⋯ Level III, economic and decision analysis.
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Clin. Orthop. Relat. Res. · Dec 2016
What are the Functional Results, Complications, and Outcomes of Using a Custom Unipolar Wrist Hemiarthroplasty for Treatment of Grade III Giant Cell Tumors of the Distal Radius?
A giant cell tumor (GCT) of bone presenting in the distal radius is rare, however, when they occur, Campanacci Grade III tumors can present formidable reconstructive challenges. They are associated with a high local recurrence rate with intralesional treatment, therefore approaches to reconstruct the wrist after en bloc resection warrant study. ⋯ Level IV, therapeutic study.
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Clin. Orthop. Relat. Res. · Dec 2016
Randomized Controlled TrialIs Botulinum Toxin Type A a Valuable Adjunct During Femoral Lengthening? A Randomized Trial.
Reduced joint ROM and distraction-induced pain are common complaints of patients who have undergone gradual femoral lengthening. Attempts to reduce the effects of lengthening on joint motion have included the use of botulinum toxin to reduce the muscle forces that restrict motion. The benefits of this approach during femoral lengthening, however, have not been conclusively established. ⋯ Level II, therapeutic study.
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Clin. Orthop. Relat. Res. · Dec 2016
What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study.
Hip dislocation after treatment of a femoral neck fracture with a hemiarthroplasty remains an important problem in the treatment of hip fractures, but the associations between patient factors and surgical factors, and how these factors contribute to dislocation in patients who have undergone bipolar hemiarthroplasty through an anterolateral approach for femoral neck fracture currently are only poorly characterized. ⋯ Level III, therapeutic study.