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Permanent Orthopedics Job in Petersburg Virginia with Community Health Systems
Seeking BC/BE Orthopedic Surgeon to join a 5-physician group in this lovely town located 15 miles south of Richmond, offering the best of smaller town living with the amenities of Richmond just a few
Permanent Orthopedics Job in Franklin Virginia with Community Health Systems
Solo private practice opportunity for aggressive Orthopedic Surgeon. Virginia Beach and North Carolina's Outer Banks are within one to two hours drive. Franklin is west of Suffolk (pop. 70,000), southeast
Permanent Orthopedics Job in Florence South Carolina with Community Health Systems
Single Specialty Group Seeks Board Certified General ORS The group is seeking a Board Certified general Orthopedic Surgeon to join the current seven physicians. The group adheres to MGMA standards

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 Dallas area Texas with TX Client of South West Health Care Recruiters
On behalf of a client located in the Dallas area of Texas, we are seeking a BE/BC Orthopedic Surgeon with additional fellowship training in either Hand OR Foot/Ankle (BC preferred, BE considered with
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

Journal of Orthopaedic Trauma - Current Table Of Contents

Complications Following Limb-Threatening Lower Extremity Trauma.
Page: 1DOI: 10.1097/BOT.0b013e31818e43ddAuthors: Harris, Anthony M MD * ; Althausen, Peter L MD, MBA + ; Kellam, James MD ++; Bosse, Michael J MD ++; Castillo, Renan MS [S]; and The Lower Extremity Assessment Project (LEAP) Study Group
Computed Tomography as a Predictor of Hip Stability Status in Posterior Wall Fractures of the Acetabulum.
Page: 7DOI: 10.1097/BOT.0b013e31818f9a5cAuthors: Moed, Berton R MD; Ajibade, David A MD; Israel, Heidi PhD
What Constitutes a Young and Burgess Lateral Compression-I (OTA 61-B2) Pelvic Ring Disruption? A Description of Computed Tomography-Based Fracture Anatomy and Associated Injuries.
Page: 16DOI: 10.1097/BOT.0b013e31818f8a81Authors: Lefaivre, Kelly A MD, FRCSC; Padalecki, Jeffrey R MD; Starr, Adam J MD

Archives of Orthopaedic and Trauma Surgery

Cervical and upper thoracic screwing for spinal fusion: strategy for its safe insertion to avoid major complications
Tue, 06 Jan 2009 16:16:10 -0000
Abstract  There are several screwing techniques to attain cervical fusion such as pedicle screw, lateral mass screw, facet screw, transarticular and laminar screw. Each screwing technique has advantages and disadvantages. In this study, we introduce our strategy for safe screwing and its clinical results. Our strategy is as follows: lateral mass screw for C1, 3, 4, 5, 6 and pedicle screw for C2, 7, and thoracic level. When the C2 pedicle is thinner than 3.5 mm, we use C2 laminar screws. We do not use Magerl transarticular screw or facet screw; 146 screws were inserted in 17 patients. There were no major complications such as spinal cord and nerve root injury. We did not observe vertebral arterial injury either. Of the 146 screws, 141 (97.0%) were accurately inserted. As for lateral mass screwing by Roy-Camille’s technique and C2 laminar screwing, all screws were inserted in the appropriate site (100%) without any complications. Five pedicle screws were misplaced. Of the 57 pedicle screws, 5 showed a minor tear of the wall at C7, Th1 and Th3, the success rate for all pedicle screws was 91%. All showed solid fusion. For cervical screwing the most important aspect should be safety to avoid severe morbidity. Our strategy, which consists in the combined use of pedicle, lateral mass and laminar screwing, is safe and reliable. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-008-0774-8Authors Koichi Sairyo, The University of Tokushima Graduate School Department of Orthopedics, Institute of Health Biosciences Tokushima JapanToshinori Sakai, The University of Tokushima Graduate School Department of Orthopedics, Institute of Health Biosciences Tokushima JapanKosaku Higashino, The University of Tokushima Graduate School Department of Orthopedics, Institute of Health Biosciences Tokushima JapanTatsuya Tamura, The University of Tokushima Graduate School Department of Orthopedics, Institute of Health Biosciences Tokushima JapanShinsuke Katoh, The University of Tokushima Graduate School Department of Orthopedics, Institute of Health Biosciences Tokushima JapanNatsuo Yasui, The University of Tokushima Graduate School Department of Orthopedics, Institute of Health Biosciences Tokushima Japan Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Long-term results of surgical release of trigger finger and trigger thumb in adults
Tue, 06 Jan 2009 16:16:10 -0000
Abstract Introduction  Trigger finger and thumb are amongst the most common hand disabilities seen by orthopaedic surgeons. Surgical release of the first annular pulley (A1) is generally indicated when non-operative treatment fails. We present the long-term results of open operative treatment of trigger finger or trigger thumb in adults performed by a single surgeon. Method  From July 1988 to 1998, 305 trigger fingers or thumbs in 276 consecutive patients were treated operatively, including 179 women and 97 men. The average age at operation time was 46.2 years. Results  Two hundred and ten (76%) of the operations were performed for a single trigger digit release, 76 (24%) for multiple trigger digits in individual patients. All operations were done under tourniquet control with local infiltration anaesthesia under outpatient conditions using a transverse incision just distal to the distal palmar crease or on the flexor crease of the thumb at the metacarpophalangeal joint. At latest follow-up after an average of 14.3 years (min: 10, max: 20) 234 patients could be evaluated and were out of complaints, there were no serious complications such as nerve transection or bowstringing or recurrencies. Conclusion  We recommend open surgery of trigger finger and trigger thumb. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-008-0802-8Authors Dorothee Lange-Rieß, Neumarkt Clinic Research Unit Orthopedics and General Surgery 92318 Neumarkt GermanyRalph Schuh, Orthopädische Gemeinschaftspraxis Weiden GermanyWolfgang Hönle, Neumarkt Clinic Department of Orthopedic Surgery 92318 Neumarkt GermanyAlexander Schuh, Neumarkt Clinic Research Unit Orthopedics and General Surgery 92318 Neumarkt Germany Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Resurfacing versus nonresurfacing the patella in total knee arthroplasty: a critical appraisal of the available evidence
Tue, 06 Jan 2009 16:16:10 -0000
Abstract  A systematic literature search for evidences comparing treatment effect and harm of resurfacing versus nonresurfacing the patella in total knee arthroplasty was conducted and yielded five meta-analysis (MA), one systematic review (SR) and six randomized controlled trials not included in previous MAs/SR. The evidence suggests that patellar resurfacing would reduce the risk of anterior knee pain, as well as the risk of patella-related reoperation. Furthermore, patients not undergoing patella resurfacing would experience more knee pain during stair climbing and be less satisfied with surgery. No significant difference in range of motion can be expected with or without patellar resurfacing. Importantly, methodological limitations were observed in all retrieved studies and evidences about potential adverse events related to patellar resurfacing are presently undetermined. Content Type Journal ArticleCategory Orthopaedic Outcome AssessmentDOI 10.1007/s00402-008-0801-9Authors Vittorio Calvisi, University of L’Aquila Department of Orthopaedic Surgery Viale S. Salvatore, Edificio Delta 6 67010 Coppito (AQ), L’Aquila ItalyGianluca Camillieri, University of L’Aquila Department of Orthopaedic Surgery Viale S. Salvatore, Edificio Delta 6 67010 Coppito (AQ), L’Aquila ItalyStefano Lupparelli, University of L’Aquila Department of Orthopaedic Surgery Viale S. Salvatore, Edificio Delta 6 67010 Coppito (AQ), L’Aquila Italy Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Interventions to improve inpatient osteoporosis management following first osteoporotic fracture: the PREVENT project
Tue, 06 Jan 2009 16:16:10 -0000
Abstract Objectives  To establish a protocol for the treatment of fragility fractures in the hospital setting based on treatment of osteoporosis. Materials and methods  An intervention protocol was implemented in patients with fragility fractures based on (1) indicating the diagnosis of osteoporotic fracture in the summary of discharge; (2) “lifestyle recommendations”; and (3) therapy for osteoporosis. Thirty-one hospitals were involved and they were informed of the importance of protocol compliance. In the first phase, a retrospective study was conducted to establish the number of low-energy fractures treated and the percentage of them that had complied with the protocol (n = 887). Then, prospectively, the same data were collected for the patients managed for 1 year (n = 6,826) in three sections of 4-month intervals. Results  The percentage of compliance increased from 8.2 to 57.2% in the first point, from 12.6 to 42.4% in the second, and from 10.3 to 43.2% in the third. Conclusion  The implementation of programs to improve osteoporosis treatment is very useful for ensuring adherence in the management of osteoporosis following admission due to fragility fracture. Content Type Journal ArticleCategory Osteoporotic Fracture ManagementDOI 10.1007/s00402-008-0809-1Authors Pedro Carpintero, University Hospital Reina Sofia Mejorana 45 14012 Cordoba SpainEnrique Gil-Garay, University Hospital La Paz Madrid SpainDaniel Hernández-Vaquero, University Hospital San Agustin Aviles SpainHumbert Ferrer, Hospital Mutua De Tarrasa Tarrasa SpainLuis Munuera, University Hospital La Paz Madrid Spain Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Arthroscopically assisted anterior decompression for femoroacetabular impingement: technique and early clinical results
Tue, 06 Jan 2009 16:16:09 -0000
Abstract Introduction  In patients with symptomatic femoroacetabular impingement resection osteochondroplasty of the femoral head–neck junction may improve hip pain and range of motion. We evaluated the short-term treatment results of an arthroscopically assisted mini-open anterior approach to compare it with the results after surgical dislocation for FAI. Methods  The clinical and radiographic results of 33 patients were reviewed retrospectively 15 months after the surgery. Harris hip scores and plain radiographs were obtained preoperatively and at follow-up. Patient satisfaction with the treatment result was quantified with a Visual Analogous scale (VAS) ranging from 0 (very dissatisfied) to 10 (very satisfied). Results  The mean Harris hip score improved from 64 points preoperatively to 85 points at the time of follow-up (P < 0.001). Mean patient satisfaction on the VAS was seven points (range: 2–10 points). In two of our first patients we observed a transient femoral nerve palsy (completely resolved at follow-up) and 15 patients reported numbness in the area of the lateral cutaneous femoral nerve. Conclusions  Treatment of anterior femoroacetabular impingement through an arthroscopically assisted mini-open anterior approach can reduce pain and improve function in a short-term observation period. Femoral osteochondroplasty as well as surgical treatment of acetabular cartilage and labrum lesions are possible, but the access is limited to the anterior and anterolateral part of the hip joint. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-008-0806-4Authors Albrecht Hartmann, University Hospital Carl Gustav Carus Department of Orthopedic Surgery Fetscherstraße 74 01307 Dresden GermanyKlaus-Peter Günther, University Hospital Carl Gustav Carus Department of Orthopedic Surgery Fetscherstraße 74 01307 Dresden Germany Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Oncogenic osteomalacia: two case reports with surprisingly different outcomes
Tue, 06 Jan 2009 16:16:07 -0000
Abstract  Oncogenic osteomalacia is a rare paraneoplastic syndrome of acquired hypophosphatemic osteomalacia, resulting from a deficit in renal tubular phosphate reabsorption, in which fibroblast growth factor 23 (FGF23) seems to be implicated. This condition is usually associated with a phosphaturic mesenchymal tumor of mixed connective tissue located in the bone or soft tissue. The clinical and the radiologic findings are the same as those seen in osteomalacia, and the biochemical features include renal phosphate loss, low serum phosphate and 1,25-(OH)2 vitD3 levels, increased alkaline phosphatase, and normal calcium, PTH, calcitonin, 25-OH-vitD3 and 25,25-(OH)2 vitD3. We present two cases of oncogenic osteomalacia associated with phosphaturic mesenchymal tumors, which were histologically similar, but presented a completely different evolution. In the first patient, the tumor developed on the sole of the foot. Following removal of the mass, the symptoms resolved and biochemical and radiological parameters returned to normal. However, in the second patient, a liver tumor developed and resection did not resolve the disease. Multiple lesions appeared in several locations during follow-up. This disease usually remits with complete tumor resection. Nevertheless, if this is not possible, oral treatment with phosphate, calcium and calcitriol can improve the symptoms. If scintigraphy of the tumor shows octreotide receptors, patients may respond partially to therapy with somatostatin analogs, with stabilization of the lesion. Content Type Journal ArticleCategory Osteoporotic Fracture ManagementDOI 10.1007/s00402-008-0808-2Authors Roberto Seijas, Cirugía Ortopédica y Traumatología Fundación García Cugat-Hospital Quiron planta-1, Pza. Alfonso Comín 5-7 Barcelona 08023 SpainOscar Ares, Cirugía Ortopédica y Traumatología Fundación García Cugat-Hospital Quiron planta-1, Pza. Alfonso Comín 5-7 Barcelona 08023 SpainJudit Sierra, Cirugía Ortopédica y Traumatología Hospital Vall d’Hebron Barcelona SpainManuel Pérez-Dominguez, Cirugía Ortopédica y Traumatología Hospital Vall d’Hebron Barcelona Spain Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051

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