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Permanent Orthopedics Job in Orthopedic Surgeon needed in the Tampa Bay, Florida area! Florida with CompHealth Inc
Job 918829 Orthopedic Surgeon with any subspecialty needed in Florida! Multi-specialty Group looking for an additional Orthopedic Surgeon to join one other! Shared call State-of-the-art equipment Competitive
Permanent Orthopedics Job in Well-Respected Health System in New York Needs an Orthopedic Surgeon! New York with CompHealth Inc
Job 918803 BC/BE general orthopedic surgeon. Looking at practicing physicians and 2009's! Joining two others. Need is due to physician who left for family reasons. Sub-specialty would be okay, but
Permanent Orthopedics Job in Well-Respected Health System in Pennsylvania Needs an Orthopedic Surgeon! Pennsylvania with CompHealth Inc
Job 918805 BC/BE orthopedic surgeon. Looking at practicing physicians and 2009's! Sports or spine fellows preferred, but will look at general orthos as well! Need is due to physicians retiring Call

All Orthopedic Foot and Ankle Jobs

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 Closed proximity to Dayton Beach and Orlando Florida with Enterprise Medical Services
Join a 7 person Orthopedic group in central Florida. The group is seeking a BC/BE ORS who is also fellowship trained in Foot and Ankle. Call will be 1:8. Will work out of two offices which are located
Permanent Orthopedic Foot and Ankle Job in Call for More Information 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

Journal of Orthopaedic Trauma - Current Table Of Contents

Unstable Bicondylar Tibial Plateau Fractures: A Clinical Investigation.
Page: 673DOI: 10.1097/BOT.0b013e31818b1452Authors: Eggli, Stefan MD *; Hartel, Maximilian J MD *; Kohl, Sandro MD *; Haupt, Uli MD *; Exadaktylos, Aristomenis K MD +; Roder, Christoph MD ++
The Effect of Knee-Spanning External Fixation on Compartment Pressures in the Leg.
Page: 680DOI: 10.1097/BOT.0b013e31818afbdbAuthors: Egol, Kenneth A MD; Bazzi, Jamal MD; McLaurin, Toni M MD; Tejwani, Nirmal C MD
Irreducible Fracture-Dislocations of the Femoral Head Without Posterior Wall Acetabular Fractures.
Page: 686DOI: 10.1097/BOT.0b013e31818e2a86Authors: Mehta, Samir MD *; Routt, M L Chip Jr MD +

Archives of Orthopaedic and Trauma Surgery

Safety, efficacy and predictive factors of efficacy of a single intra-articular injection of non-animal-stabilized-hyaluronic-acid in the hip joint: results of a standardized follow-up of patients treated for hip osteoarthritis in daily practice
Sun, 16 Nov 2008 11:31:54 -0000
Abstract Aim  To evaluate, in daily clinical practice, the efficacy and tolerability of a single intra-articular injection of non-animal-stabilized hyaluronic acid (NASHA) in patients treated for symptomatic hip OA (HOA). Methods  Standardized follow-up (FU). Patients: forty patients suffering from HOA treated by a single intra-articular injection of NASHA in the painful hip under fluoroscopy. Evaluation: patient global assessment (PGA) and walking pain (WP) on a 100 mm visual analogue scale, WOMAC index, Lequesne index at each visit. Statistics: last observation carried forward. Treatment efficacy was assessed using OMERACT-OARSI response criteria, minimal clinically important improvement (MCII), patient acceptable symptom state (PASS) obtained from PGA, WOMAC and WP. Predictive factors of efficacy were also studied. Results   Efficacy evaluation: 34 patients were assessable (mean FU 159 days). All clinical variables (WP, PGA, WOMAC, Lequesne index) decreased significantly between baseline and last evaluation. Twenty-two patients (71%) were classified OMERACT-OARSI responders, 25 subjects (75.8%) were classified PASS+, and 19 (61.3%) fulfilled criteria for MCII. Out of clinical and radiological variables only Lequesne index (p = 0.04) and WOMAC (p = 0.04) at baseline were found to be predictive of treatment efficacy. Safety evaluation: the treatment was well tolerated. There were no severe adverse events related to the treatment or to the procedure. However 15 of the 28 assessable patients experienced transient increase of pain in the target hip during the first week after injection. Conclusion  Viscosupplementation of the hip with NASHA is easily feasible in daily clinical practice, safe and well tolerated despite a frequent increase of pain the days following injection. Prospective controlled trials are needed to confirm these data and to evaluate both safety and efficacy of a second course of treatment. Content Type Journal ArticleCategory Orthopaedic Outcome AssessmentDOI 10.1007/s00402-008-0778-4Authors Thierry Conrozier, University hospital Lyon-Sud Department of Rheumatology (Pr VIGNON) 165 chemin du grand revoyet 69495 Pierre Benite Cedex FranceChantal Marie Couris, Universite de Lyon Pôle Information médicale Evaluation Recherche, Hospices Civils de Lyon Lyon FrancePierre Mathieu, University hospital Lyon-Sud Department of Rheumatology (Pr VIGNON) 165 chemin du grand revoyet 69495 Pierre Benite Cedex FranceFlorence Merle-Vincent, University hospital Lyon-Sud Department of Rheumatology (Pr VIGNON) 165 chemin du grand revoyet 69495 Pierre Benite Cedex FranceMuriel Piperno, University hospital Lyon-Sud Department of Rheumatology (Pr VIGNON) 165 chemin du grand revoyet 69495 Pierre Benite Cedex FranceFabienne Coury, University hospital Lyon-Sud Department of Rheumatology (Pr VIGNON) 165 chemin du grand revoyet 69495 Pierre Benite Cedex FranceVeronique Belin, University hospital Lyon-Sud Department of Rheumatology (Pr VIGNON) 165 chemin du grand revoyet 69495 Pierre Benite Cedex FranceJacques Tebib, University hospital Lyon-Sud Department of Rheumatology (Pr VIGNON) 165 chemin du grand revoyet 69495 Pierre Benite Cedex FranceEric Vignon, University hospital Lyon-Sud Department of Rheumatology (Pr VIGNON) 165 chemin du grand revoyet 69495 Pierre Benite Cedex France Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Conservative management of thoracolumbar and lumbar spine compression and burst fractures: functional and radiographic outcomes in 136 cases treated by closed reduction and casting
Fri, 14 Nov 2008 07:59:36 -0000
Abstract Introduction  Both fractures of the lumbar spine and at the thoracolumbar junction are quite common. The treatment of these fracture types is discussed controversially. Some authors advocate surgical treatment even in fractures without neurologic compromise while other series report good results after non-operative treatment. Materials and methods  Between January 1997 and April 2004, 324 patients with spinal fractures were admitted to our institution. Hundred and thirty-six patients with compression and burst type fractures treated by closed reduction and casting were available for follow-up. Their medical records, radiographs and computer tomography scans were reviewed and their functional status was assessed. Results  94 male (69.1%) and 42 female (30.9%) patients with a mean age of 48.6 years (range 17–81) at time of injury were included. The thoracolumbar junction (T11-L1) was affected in 104 patients (76.5%). 23.5% had lumbar fractures. All of the burst type fractures with involvement of the posterior column affection were type A3.3. fractures according to the Magerl classification. Significant correction of radiographic parameters was achieved in the early postreduction period (P < 0.0001). Reduction could not be maintained at the final follow-up but still showed slight improvement compared to the initial presentation. Reduction could be maintained better in the thoracolumbar region than in the lumbar spine. Neurologic function was restored in all patients with unilateral radicular pain but only one patient recovered fully after cauda equina-syndrome. Patients after lumbar spine indicated a higher level of pain when compared to patients with fractures at the thoracolumbar junction. Discussion  Closed reduction and casting is a safe and effective method for treatment of compression and burst type fractures at the thoracolumbar junction and can restore neurologic function in patients with unilateral radicular pain. It is of limited value in lumbar fractures and in burst type fractures with posterior column involvement. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-008-0780-xAuthors Patrick Weninger, Trauma Hospital “Lorenz Boehler” Donaueschingenstrasse 13 1200 Vienna AustriaArthur Schultz, Trauma Hospital “Lorenz Boehler” Donaueschingenstrasse 13 1200 Vienna AustriaHarald Hertz, Trauma Hospital “Lorenz Boehler” Donaueschingenstrasse 13 1200 Vienna Austria Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Infections after high tibial open wedge osteotomy: a case control study
Thu, 13 Nov 2008 15:45:15 -0000
Abstract Background and purpose  High tibial open wedge valgisation osteotomy (HTO) is a widely used procedure for the treatment of unicompartimental osteoarthritis of the knee. Instead of the classical paramedian longitudinal skin incision, some advocate an oblique incision, in order to get a better exposure of the postero-medial aspect of the tibial head, while reducing strain on the soft tissues. Risk factors for surgical site infection were analysed. Methods  Retrospective analysis of all cases of HTO performed in a single institution between January 2000 and June 2006. Results  A total of 106 patients underwent 110 HTO during the study period. The standard longitudinal incision had been used in 90, oblique incision in 20 cases. Four infections occurred, all with an oblique incision. This was the only factor showing a statistical significant association with surgical site infection (P = 0.001). Interpretation  The oblique incision is the only parameter with statistical significant association with infection after HTO. As this study type cannot prove causality, it is recommended to perform oblique incision only after careful evaluation of risks and benefits. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-008-0773-9Authors Nikolaus Reischl, Cantonal Hospital Department of Orthopaedic Surgery 1708 Fribourg SwitzerlandPeter Wahl, Cantonal Hospital Department of Orthopaedic Surgery 1708 Fribourg SwitzerlandMatthias Jacobi, Cantonal Hospital Department of Orthopaedic Surgery 1708 Fribourg SwitzerlandSteve Clerc, Cantonal Hospital Department of Anaesthesiology Fribourg SwitzerlandEmanuel Gautier, Cantonal Hospital Department of Orthopaedic Surgery 1708 Fribourg SwitzerlandRoland P. Jakob, Cantonal Hospital Department of Orthopaedic Surgery 1708 Fribourg Switzerland Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Patients with long bone fracture have altered Caveolin-1 expression in their peripheral blood mononuclear cells
Wed, 12 Nov 2008 22:21:42 -0000
Abstract Introduction  Fracture triggers a cascade of systemic and local responses including inflammatory mediator signaling, chemotaxis, osteogenic cell recruitment, differentiation and proliferation at the fracture site. Early signaling between immune cells and repair cells in fracture repair is not well understood. Caveolin-1, a 21–24 kDa membrane protein plays key roles in transmembrane signaling. This study was to investigate the expression of caveolin-1 in human peripheral blood mononuclear cells (PBMNCs) following long bone fracture. Methods  PBMNCs were obtained from healthy volunteers or fracture patients at three time points following fracture by density-gradient-centrifugation procedure. Caveolin-1 gene expression and protein characterization was examined by semi-quantitative RT-PCR, immunocytochemistry and Western blot analysis. Results  Caveolin-1 mRNA and protein was expressed at low levels in the PBMNCs of non-fracture samples. In contrast, caveolin-1 expression was greatly increased in the PBMNCs of fracture patients 9–12 days and reduced at 16–21 days following long bone fracture. Conclusion  The identification of caveolin-1 in PBMNCs and osteoblasts makes this cellular domain a new focus for further investigation. We speculate that caveolin-1 expression in PBMNCs and osteoblasts play an important role in signal transduction during the early stages of fracture healing and may be an indicator for normal or abnormal fracture repair. Content Type Journal ArticleCategory Basic ScienceDOI 10.1007/s00402-008-0776-6Authors Pei-Fu Tang, General Hospital of Chinese People’s Liberation Army Department of Orthopaedic Surgery 28 Fu-Xing Road 100853 Beijing People’s Republic of ChinaGeorge A. Burke, Queen’s University Belfast Department of Orthopaedic Surgery, School of Medicine, Dentistry and Biomedical Sciences 97 Lisburn Road Belfast BT9 7B UKGang Li, Queen’s University Belfast Department of Orthopaedic Surgery, School of Medicine, Dentistry and Biomedical Sciences 97 Lisburn Road Belfast BT9 7B UKYan Wang, General Hospital of Chinese People’s Liberation Army Department of Orthopaedic Surgery 28 Fu-Xing Road 100853 Beijing People’s Republic of China Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
In vivo wear reduction of argon compared to air sterilized UHMW-polyethylene liners
Fri, 07 Nov 2008 08:06:44 -0000
Abstract Introduction  To date, no studies have been published that report on the in vivo advantages of sterilisation in argon (ARGON) versus air (AIR) of UHMWPE liners with respect to wear extend and pattern in uncemented total hip arthroplasty. Method  Femoral penetration rates were measured in 93 AIR and 79 ARGON liners, during a mean follow-up of 8 (3–12) years. Results  During the first 3 years after implantation, both groups showed no differences in mean wear rate (P = 0.13). Thereafter, the ARGON liner demonstrated a decrease in wear rate of 0.04 mm/year from 4 to 6 years (P = 0.006), 0.14 mm/year from 7 to 9 years (P < 0.001), and 0.33 mm/year beyond 9 years follow-up (P = 0.015) compared to the AIR liner. One AIR acetabular component required revision. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-008-0771-yAuthors J. H. M. Goosen, Isala Clinics Department of Orthopaedic Surgery and Traumatology P.O. Box 10500 8000 GM Zwolle The NetherlandsC. C. P. M. Verheyen, Isala Clinics Department of Orthopaedic Surgery and Traumatology P.O. Box 10500 8000 GM Zwolle The NetherlandsB. J. Kollen, Isala Academy, Isala Clinics Research Bureau Zwolle The NetherlandsN. J. A. Tulp, Isala Clinics Department of Orthopaedic Surgery and Traumatology P.O. Box 10500 8000 GM Zwolle The Netherlands Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Shaft fractures of the clavicle: current concepts
Fri, 07 Nov 2008 08:06:44 -0000
Abstract  Fractures of the clavicle are common and have been typically addressed to nonoperative treatment. Favorable results, which predominantly were achieved in the young and adolescents, were supposed to be usual in midshaft clavicular fractures. However, in the presence of comminution or complete displacement, especially when occurring in females or elderly patients, there is a marked risk of nonunion, malunion, and poor outcome. Thus, many authors prefer primary surgical stabilization, when risk factors add up. Plate fixation and intramedullary stabilization seem to be equally favored. Though, indications for operative management remain controversial. Further prospective randomized comparative clinical trials are necessary for a well-founded risk-benefit analysis. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-008-0775-7Authors Vinzenz Smekal, Innsbruck Medical University Department of Trauma Surgery and Sports Medicine Anichstraße 35 6020 Innsbruck AustriaJuergen Oberladstaetter, Innsbruck Medical University Department of Trauma Surgery and Sports Medicine Anichstraße 35 6020 Innsbruck AustriaPeter Struve, Innsbruck Medical University Department of Trauma Surgery and Sports Medicine Anichstraße 35 6020 Innsbruck AustriaDietmar Krappinger, Innsbruck Medical University Department of Trauma Surgery and Sports Medicine Anichstraße 35 6020 Innsbruck Austria Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051

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