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Permanent Orthopedics Job in Beautiful Wyoming Needs 2 Orthopedic Surgeons Wyoming with CompHealth Inc
Job 917401 Outdoor Paradise, No state income tax, Very lucrative income potential, Plenty of recreation, Beautiful location, Growing Area No HMO's Great place to raise a family Year round recreation
Permanent Orthopedics Job in Two Ortho/Trauma physicians needed in Central Pennsylvania Pennsylvania with CompHealth Inc
Job 917304 Ortho-80% Trauma -- 500K + to join Single Specialty Group. Join single specialty group of 11 Orthopedic Surgeons. 80% Trauma Ortho at a Level 2 Trauma Center (1,300 patients per year) Call
Locum Tenens Orthopedics Job in Orthopedic surgery job in Michigan Michigan with CompHealth Inc
Job 0275656-0041 Long term coverage needed We coordinate and pay for your travel, housing, and transportation You are covered under our professional liability insurance CompHealth offers thousands

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Permanent Orthopedic Foot and Ankle Job in Atlanta Georgia with Perimeter Outpatient Surgical Associates
Our North Atlanta Practice is looking to expand. We are seeking a fellowship trained orthopaedic physician (any specialty) to join our group and utilize our on site Ambulatory Surgical Center. Our
Permanent Orthopedic Foot and Ankle Job in Allentown Pennsylvania with Lehigh Valley Hospital
ORTHOPAEDIC SURGERY POSITION - FOOT & ANKLE OAA Orthopaedic Specialists is a premier, subspecialty-oriented private practice group that serves a burgeoning region of over 750,000 people in eastern Pennsylvania.
Permanent Orthopedic Foot and Ankle Job in Not Available Massachusetts with Medical Search International
Busy Medical Center with all sub specialties of Orthopedics is seeking a BC/BE Orthopedic Surgeon with Foot and Ankle training. Metropolitan area! Fellows are welcomed!! Great compensation including extra

Journal of Orthopaedic Trauma - Current Table Of Contents

Comparative Radiographic and Clinical Outcome of Two-Hole and Multi-Hole Symphyseal Plating.
Page: 373DOI: 10.1097/BOT.0b013e31817e49eeAuthors: Sagi, H Claude MD *; Papp, Steve MD +
Interobserver Reliability of the Young-Burgess and Tile Classification Systems for Fractures of the Pelvic Ring.
Page: 379DOI: 10.1097/BOT.0b013e31817440cfAuthors: Koo, Henry MD, FRCS *; Leveridge, Mike MD *; Thompson, Charles MD *; Zdero, Rad PhD +; Bhandari, Mohit MD, FRCS(C) ++; Kreder, Hans J MD, FRCS(C) [S][P]; Stephen, David MD, FRCS(C) [S][P]; McKee, Michael D MD, FRCS(C) *[S]; Schemitsch, Emil H MD, FRCS(C) *+[S]
The Role of Fracture-Associated Soft Tissue Injury in the Induction of Systemic Inflammation and Remote Organ Dysfunction After Bilateral Femur Fracture.
Page: 385DOI: 10.1097/BOT.0b013e318175dd88Authors: Kobbe, Philipp MD *; Vodovotz, Yoram MD +++; Kaczorowski, David J MD +; Billiar, Timothy R MD +; Pape, Hans-Christoph MD *

Archives of Orthopaedic and Trauma Surgery

Similar results with 21 Kudo and 21 Souter-Strathclyde total elbow arthroplasties in patients with rheumatoid arthritis
Thu, 17 Jul 2008 05:56:58 -0000
Abstract Introduction  The results of different prostheses used for total elbow arthroplasty (TEA) in rheumatoid arthritis (RA) have been reported in only a few studies. Small differences in survival or function between implants have been reported. We retrospectively evaluated the results of 42 Souter-Strathclyde and Kudo TEAs. Materials and methods  Between 1988 and 1994, 21 consecutive patients with RA and severe elbow destruction underwent a Souter-Strathclyde TEA. Between 1994 and 1998, another group comprising 21 consecutive patients with RA with severe elbow destruction underwent a Kudo TEA. Results  There were six revisions for the groups combined, including four aseptic loosenings, one fracture and one liner wear and metallosis. The 5-year survival for the Souter-Strathclyde and the Kudo were 85% (95% CI 69–100) and 95% (95% CI 85–100), respectively. The difference between the groups was not statistically significant as tested by the Cox regression analysis. The majority of the patients were free of pain at follow-up. More than half of the patients were able to perform only light housekeeping tasks and a considerable proportion even had difficulties in maintaining personal hygiene. The elbow range of motion improved only slightly after the operation. Conclusion  Both the Souter-Strathclyde and the Kudo TEAs provide good pain relief in the arthritic elbow leading to high patient satisfaction despite the residual disabilities. Only small differences in the results between the Souter-Strathclyde and the Kudo TEAs were found. More than half of the patients were able to perform only light housekeeping tasks and a considerable proportion even had difficulties in maintaining personal hygiene. The elbow range of motion improved only slightly after the operation. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-008-0652-4Authors Eerik T. Skyttä, Surgical Hospital, Helsinki University Central Hospital Department of Orthopedics P.O. Box 263 Kasarmikatu 11-13 00029 Hus FinlandVille Remes, Surgical Hospital, Helsinki University Central Hospital Department of Orthopedics P.O. Box 263 Kasarmikatu 11-13 00029 Hus FinlandYrjänä Nietosvaara, Orton Orthopaedic Hospital, Invalid Foundation Tenholantie 10 00280 Helsinki FinlandKaj Tallroth, Orton Orthopaedic Hospital, Invalid Foundation Tenholantie 10 00280 Helsinki FinlandLeena Paimela, Orton Orthopaedic Hospital, Invalid Foundation Tenholantie 10 00280 Helsinki FinlandPekka Ylinen, Orton Orthopaedic Hospital, Invalid Foundation Tenholantie 10 00280 Helsinki Finland Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
The anterior center edge angle in Lequesne’s false profile view: interrater correlation, dependence on pelvic tilt and correlation to anterior acetabular coverage in the sagital plane. A cadaver study
Wed, 16 Jul 2008 05:59:32 -0000
Abstract Introduction  Lequesne’s vertical-center-anterior margin (VCA) angle measured on the false profile view of the pelvis aims at quantifying the anterior acetabular coverage of the femoral head. The anterior delimitation of the acetabular roof is often defined on the false profile view but there are no data on its interrater reliability. Additionally, it is not known how pelvic tilt may influence this angle. Finally, the plane in which this angle is measured lies at an angle of 65° to the sagittal plane and we wondered if this angle would be transposable to the anterior acetabular coverage measured in the sagittal plane. Methods  Eight hips from four cadaver pelvises were investigated by means of a total of 72 false profile views, each taken in defined pelvic inclinations at 5° increments ranging from −20° to +20°, and the VCA angle measured by three independent raters. A computed tomography (CT) of each hip was performed in a neutral pelvic tilt position and a sagittal 2D reconstruction calculated in order to measure anterior coverage in the sagittal plane. The interrater reliability of the VCA angles was assessed using the intra-class correlation coefficient (ICC). The dependence of the VCA angle on pelvic tilt was assessed by regression analysis. The Correlation between the VCA angle and anterior coverage in the sagittal plane of the CT was analyzed using a simple linear regression model. Results  The interrater reliability for measurements of the VCA angle was almost perfect (ICC:0.97). Regression analysis showed that each degree of pelvic tilt was accompanied by a change of the VCA angle by a value of 0.63° (P < 0.001). A low correlation between the VCA angle measured in the false profile view and the anterior coverage in the sagittal plane was statistically not significant (r = 0.667, P = 0.06). Conclusions  Lequesne’s VCA angle has an excellent interrater reliability and represents a reliable measure of acetabular dysplasia for comparisons with published data. Lequesne’s VCA angle is influenced by pelvic tilt in a linear manner. Performing the false profile view in a standing position may reduce the clinical relevance of this dependency on pelvic tilt. The correlation of Lequesne’s VCA angle to anterior acetabular coverage in the sagittal plane is low and therefore unsuitable to be transposed into the sagittal plane. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-008-0694-7Authors P. O. Zingg, University of Zurich, Balgrist Department of Orthopaedics Forchstr. 340 8008 Zurich SwitzerlandC. M. L. Werner, University of Zurich, Balgrist Department of Orthopaedics Forchstr. 340 8008 Zurich SwitzerlandA. Sukthankar, University of Zurich, Balgrist Department of Orthopaedics Forchstr. 340 8008 Zurich SwitzerlandM. Zanetti, University of Zurich, Balgrist Department of Orthopaedics Forchstr. 340 8008 Zurich SwitzerlandB. Seifert, University of Zurich Biostatistics Unit, Institute of Social and Preventive Medicine Hirschengraben 84 8001 Zurich SwitzerlandC. Dora, University of Zurich, Balgrist Department of Orthopaedics Forchstr. 340 8008 Zurich Switzerland Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Augmented pin fixation with Cortoss® for an unstable AO-A3 type distal radius fracture in a patient with a manifest osteoporosis
Wed, 16 Jul 2008 05:59:32 -0000
Abstract  Distal radius fractures are one of the most common fractures in the elderly females. In this article, we report a case of a distal radius fracture type AO-A3 with dorsal instability, in an older woman with manifest osteoporosis, treated with minimally invasive Cortoss® composite and FFS-wires®. A 63-year-old woman sustained an unstable distal radial fracture of her left wrist after falling from a kitchen step. She underwent an open reduction of the fracture and fixation with two crossed-fixation pins and Cortoss® composite. Post-operative plaster cast immobilization was given for 2 weeks, after which the plaster cast and the fixation pins were removed. At 4 weeks follow-up, she had a good functional result of her left wrist, after 11 months there was a complete return of grip strength with also, except for the palmar flexion, a full return of function. We report here the first case of a successful surgical treatment with Cortoss® composite of an AO-A3 type distal radius fracture. Content Type Journal ArticleCategory Osteoporotic Fracture ManagementDOI 10.1007/s00402-008-0680-0Authors R. S. Smit, Twenteborg Hospital, Twenteborg Ziekenhuis Department of Surgery Zilvermeeuw 1 Almelo 7609 PP The NetherlandsD. van der Velde, Twenteborg Hospital, Twenteborg Ziekenhuis Department of Surgery Zilvermeeuw 1 Almelo 7609 PP The NetherlandsJ. H. Hegeman, Twenteborg Hospital, Twenteborg Ziekenhuis Department of Surgery Zilvermeeuw 1 Almelo 7609 PP The Netherlands Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
High revision rate after treatment of femoral neck fractures with an optionally (un)cemented stem
Tue, 15 Jul 2008 07:00:17 -0000
Abstract Background  The advantages of uncemented and cemented components in hip arthroplasty have been subject of debate. We have studied on a hemiprosthesis, which can be optionally implanted with or without cement. Since the stem geometry and surface in cemented arthroplasty differs from the uncemented one and cannot be fused into one general design, we hypothesised that this hemiprosthesis used without cement has a considerable high revision rate, based on aseptic loosening. Methods  A hemiprosthesis, which is designed for both cemented and uncemented fixation, was used (Conquest, Smith&Nephew). Preoperatively, the choice of whether to use cement or not was based on the shape and bone quality of the femoral canal. Revision rate and indication, mortality, perioperative complications and radiographic features of 151 consecutive hips in 146 patients were evaluated. Results  Twenty-three stems (15%) were implanted with cement and 128 (85%) without. After a mean follow-up of 2 years, a revision rate of 8.6% and a survival percentage of 90% (CI 85–95) were observed. Twelve uncemented stems warranted revision, compared with one cemented stem. Revision because of aseptic loosening was necessary in 7 (6%) stems, all uncemented. No differences in operation-related mortality and morbidity were observed. Conclusion  Because of the rather high revision rate, the authors advice not to use this hemiprosthesis without cement. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-008-0697-4Authors Jon H. M. Goosen, Isala Clinics Department of Orthopaedic Surgery and Traumatology Zwolle The NetherlandsMarieke C. Mulder, Isala Clinics Department of Orthopaedic Surgery and Traumatology Zwolle The NetherlandsKarst J. Bongers, Isala Clinics Department of General Surgery and Traumatology Zwolle The NetherlandsCees C. P. M. Verheyen, Isala Clinics Department of Orthopaedic Surgery and Traumatology Zwolle The Netherlands Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Distal lengthening of ilio-tibial band by Z-plasty for treating refractory greater trochanteric pain after total hip arthroplasty (Pedersen–Noor operation)
Sat, 12 Jul 2008 07:52:33 -0000
Abstract Introduction  The development of greater trochanteric pain (GTP) after total hip arthroplasty (THA) represents a special category. Despite that treatment is mainly conservative, some patients show poor response and surgical intervention should be considered. We propose a new method consisting of distal lengthening of ilio-tibial band (ITB) by Z-plasty. Material and methods  Between March 2004 and June 2006, 12 women with refractory GTP after THA were operated on using distal ITB lengthening. The procedure was done under local anaesthesia on an outpatient basis. The patients were followed up 3–4 months postoperatively by phone interview and at 1–3 years by EQ-5D questionnaire and clinical examination including tenderness evaluation with algometer. Results  All patients improved significantly (EQ-5D = 0.26 preoperatively vs. 0.67 postoperatively; P < 0.005) except one patient who experienced no change in GTP symptoms. No postoperative complications were reported. Conclusion  We believe that treating patients with GTP after THA by the technique described offers a simple, safe and reliable method. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-008-0693-8Authors Arkan S. Sayed-Noor, Sundsvall Hospital Department of Orthopaedic Surgery 851 86 Sundsvall SwedenEskild Pedersen, Sundsvall Hospital Department of Orthopaedic Surgery 851 86 Sundsvall SwedenPer Wretenberg, Karolinska University Hospital Department of Orthopaedic Surgery 171 77 Stockholm SwedenGöran O. Sjödén, Sundsvall Hospital Department of Orthopaedic Surgery 851 86 Sundsvall Sweden Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Lipofibromatous hamartoma of the median nerve in patients with macrodactyly: diagnosis and treatment of a rare disease causing carpal tunnel syndrome
Thu, 10 Jul 2008 07:37:18 -0000
Abstract  Lipofibromatous hamartoma is a very rare benign peripheral nerve tumour. It is mostly encountered in the proximal extremities of young adults, involving the median nerve in the majority of cases. We present two patients with macrodactyly and carpal tunnel syndrome caused by lipofibromatous hamartoma of the median nerve and discuss diagnosis and treatment of the disease. A 10-year-old girl with a congenital progressive macrodactyly of her right index finger presented with a slowly growing mass in her right palm and pain and numbness, along with motor and sensory deficits in the median nerve distribution. Treatment consisted of carpal tunnel release, epineurolysis and partial excision of the fibrofatty tissue. The second patient, a 25-year-old man presented with a swelling in his left palm and findings compatible with carpal tunnel syndrome. Intraoperatively, the lesion presented as sausage-shaped enlargement of the median nerve by fibrofatty tissue. After carpal tunnel release, a partial excision of the mass with epineurolysis was performed. In both patients, histology showed nerve bundles separated by abundant fibrofatty tissue. In the girl, a proliferation of dysplastic perineurial cells could be observed. The suspected diagnosis for patients with macrodactyly and clinical signs of carpal tunnel syndrome should be lipofibromatous hamartoma. A carefully taken history, physical examination, X-ray, and MRI are important for its correct diagnosis. The surgical management remains controversial. Treatment should include decompression of the median nerve at points of compression, partial excision of the fibrofatty tissue, and debulking of soft tissue. In some cases, an epineurolysis can be additionally performed. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-008-0695-6Authors Dietmar Ulrich, Aachen University of Technology Department of Plastic Surgery, Hand Surgery, Burn Unit, University Hospital Pauwelsstr. 30 52074 Aachen GermanyFranziska Ulrich, Caritas Hospital St. Josef Department of Plastic, Reconstructive and Hand Surgery Landshuter Str. 65 93047 Regensburg GermanyMichael Schroeder, Aachen University of Technology Department of Neuropathology, University Hospital Pauwelsstr. 30 52074 Aachen GermanyNorbert Pallua, Aachen University of Technology Department of Plastic Surgery, Hand Surgery, Burn Unit, University Hospital Pauwelsstr. 30 52074 Aachen Germany Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051

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