Orthopedic Procedures
View article
Surgical management of chronic lateral ankle instability: a meta-analysis Open
There is limited evidence to support any one surgical technique over another surgical technique for chronic lateral ankle instability, but based on the evidence, we could still get some conclusions: (1) There are limitations to the use of …
View article
Regional anesthesia for pediatric knee surgery: a review of the indications, procedures, outcomes, safety, and challenges Open
The indications for surgery on the knee in children and adolescents share some similarity to adult practice in that there are an increasing number of sports-related injuries requiring surgical repair. In addition, there are some unique age…
View article
Preoperative Planning Using 3D Printing Technology in Orthopedic Surgery Open
The applications of 3D printing technology in health care, particularly orthopedics, continue to broaden as the technology becomes more advanced, accessible, and affordable worldwide. 3D printed models of computed tomography (CT) and magne…
View article
Prevalence and orthopedic management of foot and ankle deformities in Charcot–Marie–Tooth disease Open
Introduction: Foot deformities are frequent complications in Charcot–Marie–Tooth disease (CMT) patients, often requiring orthopedic surgery. However, there are no prospective, randomized studies on surgical management, and there is variati…
View article
Recent Trends, Technical Concepts and Components of Computer-Assisted Orthopedic Surgery Systems: A Comprehensive Review Open
Computer-assisted orthopedic surgery (CAOS) systems have become one of the most important and challenging types of system in clinical orthopedics, as they enable precise treatment of musculoskeletal diseases, employing modern clinical navi…
View article
Orthopedic surgery in cerebral palsy: Instructional course lecture Open
Orthopedic surgery (OS) plays an important role in the management of cerebral palsy (CP). The objectives of OS are to optimize functions and prevent deformity. Newer developments in OS for CP include emphasis on hip surveillance, minimally…
View article
A long duration of intraoperative hypotension is associated with postoperative delirium occurrence following thoracic and orthopedic surgery in elderly Open
Intraoperative hypotension (MAP ≤65 mmHg) for ≥5 mins was associated with an increased incidence of POD after thoracic and orthopedic surgery in elderly.
View article
Emicizumab use in major orthopedic surgery Open
Key Points Major orthopedic surgery can be performed safely in hemophilia patients with inhibitors receiving emicizumab.
View article
Active Materials for 3D Printing in Small Animals: Current Modalities and Future Directions for Orthopedic Applications Open
The successful clinical application of bone tissue engineering requires customized implants based on the receiver’s bone anatomy and defect characteristics. Three-dimensional (3D) printing in small animal orthopedics has recently emerged a…
View article
Emergence of Three-Dimensional Printing Technology and Its Utility in Spine Surgery Open
In the last decade, spine surgery has advanced tremendously. Tissue engineering and three-dimensional (3D) printing/additive manufacturing have provided promising new research avenues in the fields of medicine and orthopedics in recent lit…
View article
Validation of a modified Clavien-Dindo Classification for postoperative complications in orthopedic surgery Open
Introduction: Postoperative complications (PCs) constitute any deviation from the normal postoperative course. Reporting of PCs remains a challenge, multiple classification systems have been proposed, however these have not been validated …
View article
The next critical role of orthopedic registries Open
There is an urgent need for the introduction of new implant technology in orthopedic surgery to be conducted in a more controlled manner than in the past. Inadequate regulation and lack of effective post-market surveillance have meant that…
View article
The efficacy and safety of epidural dexmedetomidine and clonidine with bupivacaine in patients undergoing lower limb orthopedic surgeries Open
Dexmedetomidine is a superior neuraxial adjuvant to bupivacaine when compared to clonidine for early onset of analgesia, superior intra-operative analgesia, stable cardio-respiratory parameters, prolonged postoperative analgesia and provid…
View article
ChatGPT-4 generates orthopedic discharge documents faster than humans maintaining comparable quality: a pilot study of 6 cases Open
Background and purpose: Large language models like ChatGPT-4 have emerged. They hold the potential to reduce the administrative burden by generating everyday clinical documents, thus allowing the physician to spend more time with the patie…
View article
The impact of a daily pre-operative surgical huddle on interruptions, delays, and surgeon satisfaction in an orthopedic operating room: a prospective study Open
In this pilot study, a daily pre-operative huddle improved the flow of a surgeon's day and satisfaction and indirectly provided indications of safety benefits by decreasing the number of interruptions and delays. Further studies in other s…
View article
Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals Open
Despite the introduction of the national guideline for the initial management of AFASD in 2005, still great variety among orthopaedic surgeons in the Netherlands was present. As for the surgical stabilization technique, the vast majority o…
View article
Female Sex is Associated With Increased Reported Injury Rates and Difficulties With Use of Orthopedic Surgical Instruments Open
Female orthopedic surgeons are more likely than their male counterparts to report physical symptoms attributed to orthopedic surgical instruments, to have negative attitudes toward instruments, and to identify a larger number of common ins…
View article
Dissociation between the growing opioid demands and drug policy directions among the U.S. older adults with degenerative joint diseases Open
We aim to examine temporal trends of orthopedic operations and opioid-related hospital stays among seniors in the nation and states of Oregon and Washington where marijuana legalization was accepted earlier than any others. As aging societ…
View article
The effect of three-dimensional (3D) printing on quantitative and qualitative outcomes in paediatric orthopaedic osteotomies: a systematic review Open
Three-dimensional (3D) printing technology is increasingly being utilized in various surgical specialities. In paediatric orthopaedics it has been applied in the pre-operative and intra-operative stages, allowing complex deformities to be …
View article
Complex ruptures of the quadriceps tendon: a systematic review of surgical procedures and outcomes Open
Background Chronic ruptures, ruptures following total knee arthroplasty (TKA), and re-ruptures of the quadriceps tendon (QT) are rare. A systematic review of the current literature was conducted on their treatment and outcome to provide ev…
View article
Is the AO guideline for postoperative treatment of tibial plateau fractures still decisive? A survey among orthopaedic surgeons and trauma surgeons in the Netherlands Open
This study demonstrates that consensus about the weight bearing aftercare for tibial plateau fractures are limited. A large majority of surgeons do not follow the AO guideline or their own local protocol. More transparent criteria and pred…
View article
Application of ChatGPT for Orthopedic Surgeries and Patient Care Open
Artificial intelligence (AI) has rapidly transformed various aspects of life, and the launch of the chatbot "ChatGPT" by OpenAI in November 2022 has garnered significant attention and user appreciation. ChatGPT utilizes natural language pr…
View article
Regional anesthesia or patient-controlled analgesia and compartment syndrome in orthopedic surgical procedures: a systematic review Open
A systematic review of the literature on the use of regional anesthesia (RA) and patient-controlled analgesia (PCA) was conducted in patients who require orthopedic extremity procedures to determine whether either analgesic technique contr…
View article
Treating fracture of the clavicle Open
Historically, one of the few golden rules of orthopedics was that midshaft clavicle fractures did not need surgical repair. Literature published predominantly within the last 10 years has challenged this accepted wisdom, and the pendulum h…
View article
The Use of Intraoperative Neuromonitoring for Cervical Spine Surgery: Indications, Challenges, and Advances Open
Intraoperative neuromonitoring (IONM) has become an indispensable surgical adjunct in cervical spine procedures to minimize surgical complications. Understanding the historical development of IONM, indications for use, associated pitfalls,…
View article
Joint Preservation Techniques in Orthopaedic Surgery Open
Context: With increasing life expectancy, there is growing demand for preservation of native articular cartilage to delay joint arthroplasties, especially in younger, active patients. Damage to the hyaline cartilage of a joint has a limite…
View article
Feasibility of A-mode ultrasound based intraoperative registration in computer-aided orthopedic surgery: A simulation and experimental study Open
The simulation approach provided a well-defined framework for estimating the necessary number of ultrasound registration points and acceptable level of UPLE for a given required level of accuracy for intraoperative registration in CAOS. IC…
View article
Perioperative Pain Control in Upper Extremity Surgery: Prescribing Patterns, Recent Developments, and Opioid-Sparing Treatment Strategies Open
Background: Perioperative pain management in hand and upper extremity surgery has become increasingly challenging following recent efforts to accelerate postoperative recovery, decrease length of stay, and maximize the number and complexit…
View article
Surgical interventions for external snapping hip syndrome Open
Purpose Snapping hip is a common clinical condition, characterized by an audible or palpable snap of the hip joint. When the snap is perceived at the lateral side of the hip, this condition is known as external snapping hip or lateral coxa…
View article
Venous Thromboembolism in Major Orthopedic Surgery Open
Venous thromboembolism (VTE) is one of the most important complications in orthopedic surgery. Deep-vein thrombosis occurs frequently after surgery but has few clinical symptoms. The emboli formed may cause pulmonary thromboembolism, which…