Chukwuweike U. Gwam
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View article: Current evidence on medial unicompartmental knee arthroplasty in patients 60 and younger: a narrative review
Current evidence on medial unicompartmental knee arthroplasty in patients 60 and younger: a narrative review Open
Overall, medial UKA is a promising option for patients age 60 years and younger with isolated medial compartment OA, offering good long-term implant survivability and functional outcomes, relatively low complication rates and high rates of…
View article: Comparison of Short-Term Outcomes and Survivorship of Three Modular Dual Mobility Implants in Primary Total Hip Surgery
Comparison of Short-Term Outcomes and Survivorship of Three Modular Dual Mobility Implants in Primary Total Hip Surgery Open
Background: Total hip arthroplasty (THA) is a common procedure, yet instability and dislocation remain leading causes of revision. Dual mobility (DM) acetabular constructs improve stability, but comparative data across modular DM systems a…
View article: Amniotic fluid stem cell conditioned medium’s role in Schwann cell proliferation, survival, and cellular antioxidant activity under normative and oxidative stress conditions
Amniotic fluid stem cell conditioned medium’s role in Schwann cell proliferation, survival, and cellular antioxidant activity under normative and oxidative stress conditions Open
AFS-CM enhances Schwann cell proliferation, viability, and resistance to oxidative stress, while reducing cellular senescence. These findings suggest that AFS-CM could be a promising adjunctive therapy for peripheral nerve injuries by prom…
View article: Outcomes of Common Peroneal Nerve Decompression
Outcomes of Common Peroneal Nerve Decompression Open
Operative decompression of CPN neuropathy improves objective motor scores and subjective sensation and pain scores.
View article: Shared and unique risk factors for readmission exist following upper and lower extremity arthroplasty in the 30-day postoperative period
Shared and unique risk factors for readmission exist following upper and lower extremity arthroplasty in the 30-day postoperative period Open
Purpose Joint arthroplasty has become increasingly more common in the United States, and it is important to examine the patient-based risk factors and surgical variables associated with hospital readmissions. The purpose of this study was …
View article: A finite element analysis of the supportive effect of a new type of rotary support plate on lateral tibial plateau fractures
A finite element analysis of the supportive effect of a new type of rotary support plate on lateral tibial plateau fractures Open
The fixation method using this type of plates and screws can replace other methods using two plates to fix complex TPF.
View article: Trends and risk factors for opioid administration for non-emergent lower back pain
Trends and risk factors for opioid administration for non-emergent lower back pain Open
From 2010 to 2017, there was a significant decrease in the number of non-emergent LBP ED visits, as well as a decrease in opioids prescribed at these visits. These findings may be attributed to the increased focus and regulatory guidelines…
View article: Human placental extract: a potential therapeutic in treating osteoarthritis
Human placental extract: a potential therapeutic in treating osteoarthritis Open
Osteoarthritis (OA) is a degenerative joint disease marked by cartilage degradation and loss of function. Recently, there have been increased efforts to attenuate and reverse OA by stimulating cartilage regeneration and preventing cartilag…
View article: The Effect of Straight-Line Long-Toss Versus Ultra-Long-Toss Throwing on Passive Glenohumeral Range of Motion Recovery After Pitching
The Effect of Straight-Line Long-Toss Versus Ultra-Long-Toss Throwing on Passive Glenohumeral Range of Motion Recovery After Pitching Open
Background: Repetitive throwing in baseball pitchers can lead to pathologic changes in shoulder anatomy, range of motion (notably glenohumeral internal rotation deficit), and subsequent injury; however, the ideal strengthening, recovery, a…
View article: Economic impact of orthopaedic care for non-fatal gunshot wounds: analysis of a public health crisis
Economic impact of orthopaedic care for non-fatal gunshot wounds: analysis of a public health crisis Open
The 90-day direct charges and reimbursements of orthopedic care for non-fatal GSWs are of significant amounts per patient. While the number of fatal GSWs has received much attention, non-fatal GSWs have a large economic and societal impact…
View article: Stem cell secretome, regeneration, and clinical translation: a narrative review
Stem cell secretome, regeneration, and clinical translation: a narrative review Open
Regenerative medicine is a field growing in popularity due to high hopes for stimulating in situ tissue restoration. Stem cell therapy remain at the center of regenerative medicine, due to early reports on its pluripotent differentiating c…
View article: RETRACTED ARTICLE: Are There Gender Differences Among Leaders of Regional Orthopaedic Societies of the United States?
RETRACTED ARTICLE: Are There Gender Differences Among Leaders of Regional Orthopaedic Societies of the United States? Open
Retraction notice: On November 5, 2019, a reader emailed the Editor-in-Chief of Clinical Orthopaedics and Related Research® about possible data-collection errors in the study, “Are There Gender Differences Among Leaders of Regional Orthopa…
View article: After adjusting for preoperative confounders, is there an increased risk of perioperative complications in dialysis dependent total hip arthroplasty patients?
After adjusting for preoperative confounders, is there an increased risk of perioperative complications in dialysis dependent total hip arthroplasty patients? Open
Background:The prevalence of chronic kidney disease (CKD) is estimated to rise to 16.7% in the United States population, increasing the probability that dialysis-dependent (DD) patients will undergo total hip arthroplasty (THA) during thei…
View article: Accelerometer–measured physical activity levels before and after total hip arthroplasty: A cohort study
Accelerometer–measured physical activity levels before and after total hip arthroplasty: A cohort study Open
Background: Higher physical activity levels following total hip arthroplasty has multiple benefits, including decreased morbidity and mortality.To this end, accelerometers have grown in popularity due to their accurate measurement of exerc…
View article: Smartphone Applications for Assessing Ankle Range of Motion in Clinical Practice
Smartphone Applications for Assessing Ankle Range of Motion in Clinical Practice Open
Background: Measuring ankle range of motion (ROM) following injury or intervention is necessary for monitoring recovery as well as for calculating permanent impairment ratings in workers’ compensation cases. In recent years, smartphone app…
View article: Procedure-Related Risk Factors May Be More Important in Predicting Length of Stay After Total Knee Arthroplasty
Procedure-Related Risk Factors May Be More Important in Predicting Length of Stay After Total Knee Arthroplasty Open
Commentary The analysis by Piuzzi et al. of the influence of patient-related and procedure-related factors on the length of stay after total knee arthroplasty is timely and pertinent given the recent decision by the U.S. Centers for Medica…
View article: Management of the multi-ligamentous injured knee: an evidence-based review
Management of the multi-ligamentous injured knee: an evidence-based review Open
Multi-ligamentous knee injury (MLKI) can be a devastating injury, resulting in long-term knee instability and loss of function. For patients with MLKI, areas of controversy persist on how to best optimize outcomes. These areas of contentio…
View article: Discharge to the skilled nursing facility: patient risk factors and perioperative outcomes after total knee arthroplasty
Discharge to the skilled nursing facility: patient risk factors and perioperative outcomes after total knee arthroplasty Open
Patients discharged to SNF had specific demographic characteristics and risk factors, increased LOS, more frequent inpatient medical complications, and greater hospital costs. Knowledge of these risk factors may be critical from the perspe…
View article: Cementless versus Cemented Fixation in Total Knee Arthroplasty: Usage, Costs, and Complications during the Inpatient Period
Cementless versus Cemented Fixation in Total Knee Arthroplasty: Usage, Costs, and Complications during the Inpatient Period Open
Cemented fixation has been the gold standard in total knee arthroplasty (TKA). However, with younger and more active patients requiring TKA, cementless (press-fit) fixation has sparked renewed interest. Therefore, we investigated differenc…
View article: Opiate Pain Medication Consumption in Cigarette Smokers following Total Hip Arthroplasty
Opiate Pain Medication Consumption in Cigarette Smokers following Total Hip Arthroplasty Open
Purpose The purpose of the present study was to assess perception of pain and pain management in smokers versus nonsmokers who received a total hip arthroplasty (THA). Methods Patients who underwent THA from 2010 to 2016 were propensity sc…
View article: Use of new interactive patient-provider software improves patient satisfaction and outcomes—a retrospective single-center study
Use of new interactive patient-provider software improves patient satisfaction and outcomes—a retrospective single-center study Open
The use of an IPSP proved instrumental in improving patient satisfaction and lowering 90-day complication rates at a single institution. The implementation of an IPSP may prove beneficial to arthroplasty surgeons and health-care institutio…
View article: Short-term outcomes for total knee arthroplasty patients with active extension lag
Short-term outcomes for total knee arthroplasty patients with active extension lag Open
There was no significant difference in readmission rates; however, patients with Q-lag experienced a clinically significant higher pain level. Since this is the first study of its kind, we suggest further investigations on the effect of Q-…
View article: Emerging and Established Models of Bone Metastasis
Emerging and Established Models of Bone Metastasis Open
Metastasis is the leading cause of cancer-related death and drives patient morbidity as well as healthcare costs. Bone is the primary site of metastasis for several cancers—breast and prostate cancers in particular. Efforts to treat bone m…
View article: Decreased Time to Return to Work Using Robotic-Assisted Unicompartmental Knee Arthroplasty Compared to Conventional Techniques.
Decreased Time to Return to Work Using Robotic-Assisted Unicompartmental Knee Arthroplasty Compared to Conventional Techniques. Open
The findings of the current study suggest that most patients can return to work six weeks following robotic-assisted UKA which appears to be shorter than conventional UKA and TKA. Future level I studies are needed to verify our study findi…
View article: Emerging and Established Models of Bone Metastasis
Emerging and Established Models of Bone Metastasis Open
Metastasis is the leading cause of cancer-related death and drives patient morbidity as well as healthcare costs. For several cancers, breast and prostate in particular, bone is the primary site of metastasis. Efforts to treat bone metasta…
View article: Impact factors of orthopaedic journals between 2010 and 2016: trends and comparisons with other surgical specialties
Impact factors of orthopaedic journals between 2010 and 2016: trends and comparisons with other surgical specialties Open
Overall, the mean IF for peer-reviewed orthopaedic journals has increased in the past years, as has the number of journals. English journals from the United States continue to have the largest impact when compared to non-English journals a…
View article: Primary Septic Arthritis of The Knee due to Mycobacterium Tuberculosis in a Previously Healthy Child.
Primary Septic Arthritis of The Knee due to Mycobacterium Tuberculosis in a Previously Healthy Child. Open
Pediatric septic arthritis can be a devastating disease. Often, the diagnosis can be challenging as autoimmune and infectious causes may present in a similar fashion. Thus, we present the case of a five-year-old male patient, from the Paci…
View article: Hemiarthroplasty for Fractures of Metastatic Bone Disease Have Different Outcomes Compared to Fractures Without Metastasis: A Matched-Pair Analysis.
Hemiarthroplasty for Fractures of Metastatic Bone Disease Have Different Outcomes Compared to Fractures Without Metastasis: A Matched-Pair Analysis. Open
Patients who undergo hip HA for MBD are at increased risks of medical complications compared to patients who undergo HA for fractures without metastasis, and surgeons should be aware of these increased risks.