background few charit oversea surgic mission produc costeffect analys work method compar pre postop health status 157 total hip arthroplasti tha patient oper from 2007 2011 attend annual canadian orthoped mission ecuador determin qualityadjust life year qalys gain the cost each mission known the cost per surgeri divid averag lifetim qalys gain estim increment costeffect ratio icer canadian dollar per qali result the averag lifetim qalys 95 gain were 146 1415 25 2426 29 2731 unilater bilater stage two thas differ year oper respect the icers were 4442 unilater 2939 bilater 4392 stage procedur seventi percent mission budget spent transport accommod volunt conclus tha canadian shortstay surgic team high costeffect accord criteria from nation institut health care excellenc world health organiz encourag other intern mission provid similar costeffect data enabl better comparison between mission type between mission nonmiss care

Michael Schlegelmilch

Saifee Rashiq

Barbara Moreau

Patricia Jarrín

Bach Tran

Anderson Chuck

Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador

objectiv fractur common injuri elder popul treatment often complic due osteoporosi patient comorbid this studi aim investig incid treatment trend fractur sweden method patient princip secondari diagnosi fractur second vertebra icd10 s121 between 1997 2014 were identifi swedish nation patient registri npr result between 1997 2014 6370 patient fractur 51 male age were identifi npr the incid fractur increas from 3 6 per 100000 main due increas incid geriatr subgroup 70 year the percentag surgic treat patient decreas from 1997 2014 younger age male gender spinal cord injuri earlier year admiss were associ surgic treatment assign discuss this studi document rise incid fractur elder dure last two decad sweden greater awar fractur improv diagnost code higher activ level patient plausibl caus the declin trend surgic treatment warrant further studi

Anna-Lena Robinson

Claes Olerud

Yohan Robinson

Epidemiology of C2 Fractures in the 21st Century: A National Registry Cohort Study of 6,370 Patients from 1997 to 2014

aim evalu radiolog clinic result patient who underw deform correct stabil congenit spinal deform use pedicl screw after hemivertebra resect materi method nine patient mean age 92 who underw posterior hemivertebrectomi transpedicular fixat congenit spinal deform had longer than five year followup were evalu retrospect the hemivertebra were locat thorac region 4 patient thoracolumbar transit region 5 patient the patient were evalu radiolog clinic postop period result mean length followup 642 month the mean oper time 292 minut the mean blood loss 236 the averag hospit time 7 day the amount correct coron plane measur 31 the mean segment kyphosi angl 457 degre preoper measur 27 degre followup period there were statist signific differ between earli postop period final followup xray respect coron sagitt plane deform conclus the abil obtain suffici balanc correct case accompani long compens curvatur have structur charact hemivertebra may requir longer fusion level

Ramazan Erden Erturer

Bekir Eray Kilinc

Bahadir Gokcen

Sinan Erdogan

Kursat Kara

Cagatay Ozturk

The Results of Hemivertebra Resection by the Posterior Approach in Children with a Mean Follow-Up of Five Years

background deep wound infect spine surgeri debilit complic patient increas cost the object prospect studi evalu efficaci wound puls irrig dilut povidoneiodin solut prevent surgic site infect method 50 patient undergo spinal surgeri were random divid two group 25 patient each group wound were irrig dilut 3 povidoneiodin solut through lowpressur pulsatil devic group wound were irrig salin solut through bulb syring both group specimen bacteri cultur were harvest from surgic site befor after irrig result group surgic site infect occur group deep wound infect observ 3 patient both group befor irrig some cultur have been found posit bacteri contamin conclus our studi seem support idea lowpressur pulsat lavag surgic wound povidoneiodin dilut nontox concentr 3 effect therapeut adjunct measur prevent surgic site infect spine surgeri howev number enrol patient small signific statist analysi practic this trial regist nct03249363

Vincenzo De Luna

Federico Mancini

Fernando De Maio

Gabriele Bernardi

Ernesto Ippolito

Roberto Caterini

Intraoperative Disinfection by Pulse Irrigation with Povidone-Iodine Solution in Spine Surgery

orthoped implant have becom essenti compon modern medicin the risk infect total hip arthroplasti tha 15 2 are creactiv protein crp erythrocyt sediment rate esr procalcitonin pct good marker tha infect screen from februari 2009 decemb 2012 our depart orthoped traumatolog 1248 patient were treat tha prosthesi cement all patient receiv antibiot prophylaxi all patient were discharg approxim 74 day after surgeri clinic radiograph followup program 15 day 1 3 6 12 24 36 month after surgeri blood sampl determin esr crp pct valu were taken 1 hour befor surgeri 15 day 1 3 6 12 24 36 month after surgeri dure followup were 22 case tha infect accord widmer classif infect hematogen one 16 case late chronic one 5 case earli postop one 1 case all case three marker were consid posit 6 case were radiolog sign septic loosen esr crp pct prove have greater diagnost accuraci than xray predict late chronic earli postop infect these marker valuabl support surgeon monitor prosthet implant lifespan

Gabriele Falzarano

Antonio Piscopo

Predrag Grubor

Giuseppe Rollo

Antonio Medici

Valerio Pipola

Michele Bisaccia

Auro Caraffa

Elizabeth Mary Barron

Francesco Nobile

Raffaele Cioffi

Luigi Meccariello

Use of Common Inflammatory Markers in the Long-Term Screening of Total Hip Arthroprosthesis Infections: Our Experience

background the dorsal tangenti view has been shown improv detect dorsal screw perfor dure volar distal radius fractur fixat here perform cadaver imag survey studi evalu view uniform benefici all screw method standard placement fixedangl volar distal radius plate perform two cadav fluoroscop imag depict variabl screw perfor each four screw hole plate were generat 46imag survey distribut larg academ medic center respond were ask answer screw perfor through dorsal cortex each imag statist analysi perform use fisher exact test valu 05 consid signific result the view offer signific more reliabl determin dorsal screw penetr than tradit later imag radialmost screw all degre perfor middl two screw 2 perfor resid attend had more accur screw read overal use view conclus the view superior tradit later imag detect small amount dorsal perfor radialmost three screw fixedangl volar plate

Juan M. Giugale

Mitchell S. Fourman

Deidre L. Bielicka

John R. Fowler

Comparing Dorsal Tangential and Lateral Views of the Wrist for Detecting Dorsal Screw Penetration after Volar Plating of Distal Radius Fractures

purpos medial menisc extrus mme has attract attent index knee pain conjunct clinic symptom could more use than diagnosi knee osteoarthr xray howev size mme would caus knee pain has been clarifi the aim present studi investig cutoff valu mme knee pain method total 318 knee were evalu the presenc current past knee pain confirm interview next mme measur use vertic sonograph imag medial joint space dure weightbear result overal 71 knee were pain pgroup 247 knee were ngroup mme 59 18 pgroup 29 15 ngroup analysi receiv oper characterist curv show cutoff valu mme knee pain 43 sensit 08451 specif 08502 addit 64 knee without pain case time examin whose mme exceed cutoff valu had past knee pain conclus the sensit specif mme knee pain were veri high cutoff valu 43

Hiroaki Kijima

Naohisa Miyakoshi

Yuji Kasukawa

Yoshinori Ishikawa

Hayato Kinoshita

Kentaro Ohuchi

Masazumi Suzuki

Nozomi Kaga

Chie Sato

Shuichi Chida

Yoichi Shimada

Cut-Off Value of Medial Meniscal Extrusion for Knee Pain

the averag life expect mani peopl undergo total hip replac thr exceed twentyf year demand implant increas loadbear capabl bone without affect short longterm stabil prosthesi high mechan failur owe cement damag stress shield bone main factor affect longterm surviv cement hip prosthes implant design must realist adjust balanc between two conflict effect follow analysi introduc novel methodolog achiev object numer techniqu combin automat realist model implant embed medium finit element analysi assess level stress shield cement damag final global optim use orthogon array probabilist restart were use applicat implant fabric use homogen materi function grade materi were present

Abdellah Ait Moussa

Justin Fischer

Rohan Yadav

Morshed Khandaker

Minimizing Stress Shielding and Cement Damage in Cemented Femoral Component of a Hip Prosthesis through Computational Design Optimization

revis hip arthroplasti requir comprehens appreci abnorm boni anatomi advanc radiolog manufactur technolog have made threedimension represent osseous anatomi obtain which provid visual tactil feedback such lifes model were manufactur from comput tomographi scan three hip joint two patient the first patient had undergon multipl previous hip arthroplasti bilater hip infect result rightsid pelvic discontinu sever leftsid posterosuperior acetabular defici the second patient had firststag revis infect recurr disloc specif metal reduct protocol were use reduc artefact the imag were import materialis mimics 1412 the model were manufactur use select laser sinter accurat templat perform preoper acetabular cup augment buttress cage size were triall use model befor be adjust resterilis enhanc preoper decisionmak process screw trajectori simul carri out reduc risk neurovascular injuri with print technolog complex pelvic deform were better evalu treat improv precis lifes model allow accur surgic simul thus improv anatom appreci preoper plan the accuraci costeffect techniqu should prove invalu tool aid clinic practic

Andrew J. Hughes

Cathal DeBuitleir

Philip Soden

Brian O’Donnchadha

Anthony Tansey

Ali Abdulkarim

Colm McMahon

Conor J. Hurson

3D Printing Aids Acetabular Reconstruction in Complex Revision Hip Arthroplasty

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Advances in Orthopedics provides a forum for orthopaedics working on improving the quality of orthopedic health care. Topics relate to arthroplasty, hand surgery, limb reconstruction, pediatric orthopaedics, sports medicine etc.

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