Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “ORTHOPEDICS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,189 records · Page 66Linked to original sources
PubMed1991

Detection of infection in postoperative orthopedic patients with technetium-99m-labeled monoclonal antibodies against granulocytes.

A prospective study of 106 orthopedic patients was performed for the detection of infection in the early postoperative stage using 99mTc-labeled murine Mabs directed against epitopes on granulocytes. Accuracy was 81% in the hips (n = 26), 81% in the thigh (n = 21), 84% in the knee (n = 19), and 100% in the tibia (n = 27). The technique did not work well in the spine where false-negative results were observed in the three patients studied. One patient suffered transient swelling of the eyelids following injection. Optimal imaging results were obtained 2-6 hr postinjection.

Adolescent↗
PubMed1991

Management of extremity injuries with external fixator or Ilizarov devices. Cooperative effort between orthopedic and plastic surgeons.

Major advances in the last decade have improved the treatment and outcome of patients with moderate to severe lower extremity injuries. Better transport and emergency room facilities, which allow more prompt repair of injuries, advances in bone stabilization, and better methods of soft-tissue reconstruction have led to a significant decrease in amputation and infection rates. This article presents the Mangled Extremity Severity Score (MESS) index and Gustilo's classification to evaluate injuries. Orthopedic, plastic, and vascular surgeons collaborate to manage these injuries in five categories: limb viability, timing, debridement, fixation, and secondary reconstruction. Finally, two cases are presented to demonstrate practical application of these steps, and guiding principles are outlined.

Adult↗
PubMedDate not supplied

[Autologous blood transfusion in orthopedic surgery patients].

During a 16-month period, blood for autologous transfusion treatment was taken in 186/788 (23.6%) orthopedic patients. Vasovagal reactions during blood withdrawal were observed in 8.6% of patients. Transfusiologic treatment with autologous blood alone was carried out in 134 (72%) patients. In 36 (19.4%) patients, homologous blood was given in addition to autologous blood. Withdrawal of the required blood unites could not be completed in 33 (17.7%) patients. In this group of patients, the need of homologous blood transfusion was highest (39.3%). In 98.3% of patients, mean values of hemoglobin and hematocrit immediately before the surgical procedure exceeded 100 g/L and 30%, respectively.

Adolescent↗
PubMed1991

[The risk of transmission of HIV virus during orthopedic surgery and its prevention].

The risk of transmission of HIV virus by blood transfusion or by bone transplant during cold orthopedic surgery has been studied on the basis of known French epidemiological data concerning the problem. The authors take the opportunity to discuss appropriate methods for limiting these risks (programmed and delayed self-transfusion, sterilisation of grafts) and their own experience in this area.

Acquired Immunodeficiency Syndrome↗
PubMed1991

The new genetics and its relevance to orthopedics.

The recent advances in genetics have practical importance for patients with orthopedic problems. Specific genes are being isolated, mapped to chromosomes, and defined. Surgical specimens can be used for genetic studies to define specific genetic abnormalities. Making specific genetic diagnoses is important for appropriate care of the patient and the family.

Connective Tissue Diseases↗
PubMed1991

Neurologic status of spina bifida patients and the orthopedic surgeon.

The purpose of this paper is to review recent developments in the neurologic assessment of spina bifida patients. Determination of the neurosegmental level of the lesion, recognition of spasticity and progressive paralysis, the potential for deformity, and functional expectations are described. The status of the neurologic deficit remains the most important factor in determining the myelomeningocele patient's ultimate functional abilities. Accurate neurologic assessment will assist in meeting the aims of orthopedic management, which include preventing joint contracture, correcting deformity, preventing skin sores, and obtaining the best possible locomotor function.

Adolescent↗
PubMed1991

Preliminary analysis: HIV serosurvey of orthopedic surgeons, 1991.

Although occupational transmission of human immunodeficiency virus (HIV) and other bloodborne pathogens to health-care workers from patients has been well documented, data on HIV seroprevalence in health-care workers are limited. This report summarizes preliminary findings from a voluntary, anonymous HIV serosurvey among orthopedic surgeons, conducted by CDC in cooperation with the American Academy of Orthopaedic Surgeons (AAOS), at the AAOS annual meeting in Anaheim, California, during March 6-12, 1991.

Adult↗
PubMed1991

[Borderline mental disorders in patients with orthopedic diseases].

Results are reported of a study of borderline mental disorders in patients of the orthopedic profile. The author determined mental phenomena forming the internal picture of the disease, function of the vegetative nervous system, syndromological characterization of mental disorders, role of premorbid personality changes and main variants of development of this somatopsychic pathological state.

Borderline Personality Disorder↗
PubMed1991

[The use of tramal in the orthopedics-traumatology clinic].

There were performed clinical and biochemical investigations of nonnarcotic analgetic tramal application (FRG, Grunenthal) with 196 patients of orthopedic-traumatologic type. The conclusion was drawn that the most effective is tramal application in patients with chronic pains in case of purulent complications and the optimum combination is the coupling of tramal with baralgin and relanium.

Chronic Disease↗
PubMed1990

[Admission and organization of emergency care for multiple injured patients. The experience of the Strasbourg Center of traumatology and orthopedics].

The admission of patients with severe multiple trauma and the organization of treatment must follow a few basic principles: 1) continuous, uninterrupted management by the various links of the medical chain, 2) single location: the various persons ensuring the treatment must go to the patient's side, and not the opposite, 3) pluridisciplinary, polyvalent care, and lastly, 4) single command: for us, the orthopedist-traumatologist must direct and coordinate care to the severely injured persons, and the so-called general surgeons is in charge of the others. Three structures of admission currently coexist in France: the department of admission, the emergency department and, rarely, the center of traumatology. Carefully planned routes, adapted facilities, plenty of material and staff are essential. The initial management of patients with multiple trauma in both diagnostic and therapeutic at the same time: first aid in case of vital emergency, resuscitation, clinical, radiological and biological assessment, aimed at drawing a complete census of the lesions and establishing their hierarchy. Considering this hierarchy, the treatment must urgently, completely and definitively deal with: In the first place, and in extreme emergency, vital lesions: visceral rupture, internal and external hemorrhages as well as orthopedic priorities: neuromedullary compression, fracture with vascular lesion, open fracture. All the lesions must be treated definitively if this is possible. However, not all fractures must be operated immediately. Only the severe lesions that are a factor of shock (eg. fracture of both femurs) must be reduced and fixed in emergency. The temporary treatment of the other lesions with plaster casts or continuous extension must not be neglected.(ABSTRACT TRUNCATED AT 250 WORDS)

Emergency Medical Services↗
PubMed1990

The accreditation of graduate educational programs in orthopedic surgery.

The development and evaluation of graduate medical education in the United States from the late 19th century to the present are founded on the structure, role, and function of the accrediting bodies (the Accreditation Council for Graduate Medical Education and the Residency Review Committees). The general and specific requirements for accreditation of orthopedic programs, the processes for accreditation of existing and new residency programs, and the current status of fellowship accreditation are continuously under evaluation.

Accreditation↗
PubMedDate not supplied

[Nimesulide in the treatment of postoperative pain in minor orthopedic surgery].

The study assesses the effect of Nimesulide in the treatment of post-operative pain in minor orthopedic surgery. Twenty-five patients who had received regional peridural or subarachnoid anesthesia were included in the study. After a variable interval of 60 to 90 minutes, the average level of pain, evaluated using a "pain score", was considerably reduced. This effect lasted for an average of 360 +/- 120 minutes. There were minimum side-effects.

Adult↗
PubMedDate not supplied

Use of continuous passive motion in pediatric orthopedics.

Continuous passive motion (CPM) was used to maintain or gain hip and knee range of motion in 18 postoperative or postinjury pediatric orthopedic patients. Continuous passive motion was started in the early postoperative period and augmented with physical therapy. The device was well-tolerated in 16 of the 18 patients. In all but one, motion was improved with a progressive decrease in joint pain. In these patients, CPM was found to be a valuable tool in rehabilitation, and did not interfere with traction, open wounds, nursing care, nor external fixation devices.

Adolescent↗
PubMed1990

A patient registry for orthopedic surgery.

Identification of patient subpopulations for retrospective clinical studies, documentation of residents' clinical experience, and other administrative purposes can be difficult and time consuming. The problem of identification is exacerbated when a teaching program involves several hospitals or when the desired subpopulation is not adequately defined by standard diagnosis or procedure codes used by the institution. A useful patient registry system is reported here for the storage and retrieval of data on orthopedic patients treated by surgical residents at a major teaching hospital and its affiliates. The registry uses a simple, yet powerful encoding scheme to describe patient entries. In addition to a multidimensional encoded description based on SNOMED, the system supports the entry of free text to provide greater detail. This combination gives the patient registry both power and versatility.

Hospital Information Systems↗
PubMed1990

Florida orthopedic surgeons react to liability concerns. Lower insurance coverage, protect assets, avoid trauma.

Three hundred thirty-six Florida orthopedic surgeons, an estimated 40% of those in active private practice, responded in a survey regarding liability effects on their practice. They indicated an average of 1.9 suits per surgeon, up from an average of 1.3 two years previously. Seventeen percent reported no professional liability coverage and combined with those who had dropped "tail" coverage to lower their premium, 29% are partially or completely uninsured. Half the surgeons responding reported $250,000 coverage or less; many more indicated their intention to reduce or eliminate coverage soon. Sixty-three percent have carried out estate planning asset protection steps. Responding to liability threats, 70% report significant recent practice style changes, the most common being avoidance of trauma patients and increasing the number of x-rays and tests ordered for patients. Origin of patients who subsequently became plaintiffs was usually the emergency room; however, the alleged injury usually occurred in the operating room later in that hospitalization.

Adult↗
PubMed1990

[Ropivacaine for peridural anesthesia. Studies on the dose-response relationship in orthopedic surgery].

In an open, nonrandomized dose response study, the efficacy of 0.75% ropivacaine (plain) for epidural analgesia was evaluated during 46 orthopedic surgical procedures (18 total hip replacements, 10 knee prostheses, 3 forefoot operations, 14 arthrotomies or osteotomies). Group 1 received 15 ml (112.5 mg); group 2 20 ml (150 mg); and group 3 25 ml (187.5 mg). The times to initial onset (6.7-7.9 min) and to the maximum level of sensory analgesia (25.7, 27.1, and 30.7 min) hardly differed. The mean maximum level of sensory analgesia increased from T6 (group 1), to T5 (group 2) and T3 (group 3), with an absolute maximum level of C3 (statistically not significant). Times for two-segment regression increased from 146 min and 169 to 192 min, for regression of analgesia to T10 from 193 and 189 to 246 min and to T12 from 220 min and 244 to 296 min (significant). The mean maximum durations were 239(+/- 54), 267(+/- 49.8) and 355(+/- 59.2) min. The degree of motor blockade varied with the volume. Motor block grade I was recorded in 100% of cases, and motor block grade II in 64% of patients in group 1, in 73% in group 2, and in 100% in group 3. Motor block grade III was only seen in 7.1% in group 1, 20% in group 2, and 47% in group 3. The duration was 102 min, 133 min and 188 min for grade I, 158 min, 199 min and 263 min for grade III when this occurred. MAP, HF and RPP varied by a maximum of -8.3%, -11.5% and -17.6% from the initial value.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1990

Recertification in orthopedics.

Will the recertification process always remain the same or is there room for change? Almost certainly the process will change with experience and newer technology, particularly as it relates to clinical policies, outcome studies, and increased computerization of patient data. Even the addition of the practice-based oral exam in 1989 represented a change. The American Board of Orthopaedic Surgery will continue to study and review the experience and methods of other boards with recertification and will continue the dialogue with orthopedic surgeons. Change is, after all, a constant.

Certification↗
PubMed1990

Recertification. One orthopedic surgeon's view.

A clear definition of recertification as a measure of continuing education rather than continuing competency, coupled with established procedures for testing and retesting and alternating with educational opportunities, can do much to alleviate the anxiety associated with this process. Orthopedic surgeons should not be averse to demonstrating that they have kept up-to-date, but should be assured that decertification will not be a result of the recertification process.

Certification↗