Neil P. Sheth
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View article: Lateral unicompartmental knee arthroplasty anatomy, indications, technique, and outcomes: a narrative review
Lateral unicompartmental knee arthroplasty anatomy, indications, technique, and outcomes: a narrative review Open
Lateral unicompartmental knee arthroplasty (UKA) is an effective surgical option for isolated lateral compartment osteoarthritis, though it remains less common than medial UKA. The lateral compartment differs substantially from the medial …
View article: Medial pivot total knee arthroplasty
Medial pivot total knee arthroplasty Open
Over recent years, medial pivot total knee arthroplasty (MP-TKA) has gained traction as it more closely replicates native knee kinematics. This review traces the evolution from early TKA designs through modern "ball-and-socket" concepts an…
View article: THA Instability: The Effects of Sagittal Plane Balancing and Decreased Pelvic Motion A Case Report
THA Instability: The Effects of Sagittal Plane Balancing and Decreased Pelvic Motion A Case Report Open
Case: We present a case of recurrent total hip arthroplasty (THA) instability in a 63-year-old female with several prior lumbar spine fusions. She underwent multiple revision THAs for peri-prosthetic joint infection (PJI), peri-prosthetic …
View article: Ensuring Access to High Quality Care in Revision Total Knee Arthroplasty: An Analysis of Referral Patterns and Clinical Outcomes at a Tertiary Care Center
Ensuring Access to High Quality Care in Revision Total Knee Arthroplasty: An Analysis of Referral Patterns and Clinical Outcomes at a Tertiary Care Center Open
Despite higher rates of prior revision in external referrals, outcomes were equivalent across referral groups at a tertiary care center. Because prior revision history predicts subsequent failure, early referral to centers with appropriate…
View article: Grading medial compartment tightness among varus osteoarthritic knees during image-free robot-assisted total knee arthroplasty for optimized pre-resection gap balancing
Grading medial compartment tightness among varus osteoarthritic knees during image-free robot-assisted total knee arthroplasty for optimized pre-resection gap balancing Open
Aims Robot-assisted total knee arthroplasty (RA-TKA) allows for calibrated pre-resection gap balancing (PRGB). Complete PRGB is considered inappropriate as some gap tightness resolves spontaneously during surgery. The aims of this study we…
View article: Abaloparatide effects on BMD in acetabular regions corresponding to DeLee and Charnley zones in women with postmenopausal osteoporosis
Abaloparatide effects on BMD in acetabular regions corresponding to DeLee and Charnley zones in women with postmenopausal osteoporosis Open
NCT01343004.
View article: Postoperative complications rates and outcomes following total hip arthroplasty in patients with ankylosing spondylitis: A systematic review
Postoperative complications rates and outcomes following total hip arthroplasty in patients with ankylosing spondylitis: A systematic review Open
Observed trends suggest a noticeable occurrence of complications, such as joint dislocation and HO, following THA in patients with AS. While postoperative improvements in ROM and patient outcomes were reported, these qualitative findings w…
View article: Liver Disease Increases the Risk of Postoperative Complications in Patients Undergoing Aseptic Revision Total Hip and Knee Arthroplasty
Liver Disease Increases the Risk of Postoperative Complications in Patients Undergoing Aseptic Revision Total Hip and Knee Arthroplasty Open
This is retrospective cohort study and is level 3 evidence.
View article: ‘Extended’ restricted kinematic alignment results in decreased residual medial gap tightness among osteoarthritic varus knees during robotic-assisted total knee arthroplasty
‘Extended’ restricted kinematic alignment results in decreased residual medial gap tightness among osteoarthritic varus knees during robotic-assisted total knee arthroplasty Open
Aims The aims of this study were: 1) to describe extended restricted kinematic alignment (E-rKA), a novel alignment strategy during robotic-assisted total knee arthroplasty (RA-TKA); 2) to compare residual medial compartment tightness foll…
View article: Orthopaedic and trauma research in Tanzania: A scoping review
Orthopaedic and trauma research in Tanzania: A scoping review Open
Tanzania is disproportionately burdened by musculoskeletal injuries as it faces unique challenges when dealing with trauma care. This scoping review aims to summarize and assess the current state of orthopaedic and trauma research in Tanza…
View article: Effects of Abaloparatide on Bone Mineral Density in Proximal Femoral Regions Corresponding to Arthroplasty Gruen Zones
Effects of Abaloparatide on Bone Mineral Density in Proximal Femoral Regions Corresponding to Arthroplasty Gruen Zones Open
Background: Low hip bone mineral density (BMD) in patients who undergo total hip arthroplasty (THA) increases the risk of periprosthetic fractures, implant instability, and other complications. Recently, emphasis has been placed on bone he…
View article: Systems issues limiting acute fracture care delivery at a tertiary care hospital in Northern Tanzania
Systems issues limiting acute fracture care delivery at a tertiary care hospital in Northern Tanzania Open
several systems limitations prevent the delivery of adequate surgical treatment in patients with acute orthopaedic traumatic injuries, including lack of intraoperative fluoroscopy and lack of implant availability. This study will serve as …
View article: Increasing the Volume of Outpatient Total Joint Arthroplasty Procedures: An Evaluation of a Novel Rapid Recovery Pathway Program Within an Academic Medical Center
Increasing the Volume of Outpatient Total Joint Arthroplasty Procedures: An Evaluation of a Novel Rapid Recovery Pathway Program Within an Academic Medical Center Open
Background: There has been a national trend toward shifting joint arthroplasty procedures to the outpatient setting. These cases are often performed in freestanding ambulatory surgery centers (ASCs), which are often not accessible to surge…
View article: Characteristics of Clinical Trials in Sepsis Registered in Clinicaltrials.Gov between September 2007 and June 2023- a Cross Sectional Analysis
Characteristics of Clinical Trials in Sepsis Registered in Clinicaltrials.Gov between September 2007 and June 2023- a Cross Sectional Analysis Open
Purpose: To perform an analysis of trends and characteristics of Sepsis studies registered in ClinicalTrials.gov (CTG). Methods: The clinical studies related to sepsis registered on ClinicalTrials.gov (CTG) from September 27, 2007 to June …
View article: Characteristics of Clinical Trials for Multiple Myeloma and CAR-T Cell Therapy: A Cross Sectional Analysis
Characteristics of Clinical Trials for Multiple Myeloma and CAR-T Cell Therapy: A Cross Sectional Analysis Open
Background: In recent decades novel CAR-T cell therapies have proven efficacious in the treatment of multiple myeloma, leading to FDA approval. As CAR-T cell therapies continue to be developed in clinical trials, it is important to assess …
View article: Lower extremity injuries secondary to road traffic accidents in East Africa: A systematic review
Lower extremity injuries secondary to road traffic accidents in East Africa: A systematic review Open
Background: Road traffic accidents (RTAs) are a significant contributor to morbidity and mortality in East Africa. Lower extremity (LE) injuries are especially debilitating, negatively impacting quality of life and employment prospects. Th…
View article: Posterolateral Internal Sphincterotomy as a Novel Technique for Treatment of Chronic Fissure in Ano with Large Skin Tags: An Experience of 50 Cases
Posterolateral Internal Sphincterotomy as a Novel Technique for Treatment of Chronic Fissure in Ano with Large Skin Tags: An Experience of 50 Cases Open
Introduction: Fissure in ano is a common benign anorectal condition affecting individuals of all age groups.The gold standard treatment for fissure in ano is lateral internal sphincterotomy with excision of the skin tag if necessary.In thi…
View article: The Dome Technique for Managing Massive Anterosuperior Medial Acetabular Bone Loss in Revision Total Hip Arthroplasty: Short-Term Outcomes
The Dome Technique for Managing Massive Anterosuperior Medial Acetabular Bone Loss in Revision Total Hip Arthroplasty: Short-Term Outcomes Open
Excellent outcomes can be achieved using the dome technique for management of massive anterosuperior medial acetabular defects in revision THA with survivorship of 91% at a mean follow-up period of three years. Conduct of future studies wi…
View article: Evaluating the Social Impact of a Proposed Orthopedic Center of Excellence in Northern Tanzania: A Novel Use of the Impact Multiple of Money Methodology
Evaluating the Social Impact of a Proposed Orthopedic Center of Excellence in Northern Tanzania: A Novel Use of the Impact Multiple of Money Methodology Open
Background Musculoskeletal injuries—often a result of Road Traffic Accidents (RTAs)—represent a significant burden in sub‐Saharan Africa. RTA victims are faced with lifelong disability and diminished employment. Northern Tanzania in partic…
View article: Post cholecystectomy Mirizzi syndrome: a rare complication of partial cholecystectomy as case report and review of literature
Post cholecystectomy Mirizzi syndrome: a rare complication of partial cholecystectomy as case report and review of literature Open
Post cholecystectomy Mirizzi syndrome (PCMS) is defined as obstruction of the CHD leading to obstructive jaundice in a patient who has undergone cholecystectomy due to remnant calculus in the cystic duct or due to compression by infundibul…
View article: Hospitalized for poverty: orthopaedic discharge delays due to financial hardship in a tertiary hospital in Northern Tanzania
Hospitalized for poverty: orthopaedic discharge delays due to financial hardship in a tertiary hospital in Northern Tanzania Open
Background Musculoskeletal injury contributes significantly to the burden of disease in Tanzania and other LMICs. For hospitals to cope financially with this burden, they often mandate that patients pay their entire hospital bill before le…
View article: Local Trends in Total Joint Arthroplasty and Orthopaedic Surgeon Distribution in the United States
Local Trends in Total Joint Arthroplasty and Orthopaedic Surgeon Distribution in the United States Open
Introduction: Total joint arthroplasty (TJA) volume and the number of orthopaedic surgeons in the United States have increased in recent years, but local growth variation has not been studied. This study assesses recent changes in state-le…
View article: Superior Pubic Ramus Screw Placement During Complex Acetabular Revision
Superior Pubic Ramus Screw Placement During Complex Acetabular Revision Open
Background: Insertion of a superior pubic ramus screw may be indicated for the treatment of a chronic pelvic discontinuity when utilizing acetabular distraction in revision total hip arthroplasty (THA), especially in the setting of severe …
View article: The Complex Process of Using the Interconnected Knee Arthroplasty Device Clearance Pathway
The Complex Process of Using the Interconnected Knee Arthroplasty Device Clearance Pathway Open
Background: The clearance of medical devices by the US Food and Drug Administration (FDA) has remained largely unchanged since 1976, when the Medical Device Amendments Act established a system classifying devices into 3 categories based on…