May 20, 2012

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Varitimidis SE, Dimitroulias AP, Karachalios TS et al. Acta Orthop 2009;80:20–5.

Early results of tantalum rod implantation in the pre- and post-collapse stages of femoral head osteonecrosis are presented in this article. Improved function rather than disease arrest would appear to be the main benefit.

The incidence of osteonecrosis of the femoral head is rising. Although technology for diagnosing early disease has advanced, there is still no universally accepted treatment for disease at this stage. The use of tantalum rods was first proposed in 1997 after a magnetic resonance-based three-dimensional finite element model demonstrated that it was a reasonable mechanical substitute for a fibular graft by effectively reducing peak stress–strain ratios (Trans Orthop Res Soc 1997;22:598).

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LATEST ARTICLES

Leading Articles
- Achilles Tendinopathy 
  
  Nicola Maffulli, MD, MS, PhD, FRCS(Orth)¹, Umile Giuseppe Longo, MD², and Vincenzo Denaro, MD²
  
  Queen Mary University of London – Barts and The London School of Medicine and Dentistry, London, UK, and Campus Biomedico University, Rome, Italy
  
  In Achilles tendinopathy, there is pain and swelling in and around the Achilles tendon (AT), mainly arising from overuse. The essence of Achilles tendinopathy is a failed healing response, with haphazard proliferation of tenocytes, some evidence of degeneration in tendon cells and disruption of collagen fibers, and a subsequent increase in non-collagenous matrix. Despite the social and economic relevance of the problem, the causes and mechanisms of Achilles tendinopathy remain unclear. The diagnosis of Achilles tendinopathy is mainly based on careful history-taking and detailed clinical examination. The latter remains the best diagnostic tool. At present, only limited scientifically proven management modalities exist. New minimally invasive techniques involving stripping neovessels from the Kager’s triangle of the AT have been described, and seem to allow faster recovery and accelerated return to sport compared with open surgery.
- Obstetrical Brachial Plexus Palsy
  
  Marcin Sibinski, MD, PhD¹, Makandjou-Ola Eusebio¹, Himanshu Sharma MS(Orth), FRCS(Tr & Orth)², and Marek Synder, MD, PhD¹ 
  
  Katedra i Klinika Ortopedii i Ortopedii Dziecie¸cej, Lodz, Poland, and Freeman Hospital, Newcastle-upon-Tyne, UK
  
  Obstetrical brachial plexus palsy (OBPP) is a rare disease with a reported incidence of 0.1%. The well-established risk factors for OBPP include high birth weight (>4.5 kg), shoulder dystocia, difficult delivery, breech delivery, maternal history of previous delivery complicated by OBPP, prolonged second stage of labor, maternal diabetes, and considerable maternal weight gain during pregnancy (>22 kg). Recovery of biceps function within 3–6 months is of favorable prognostic significance. The more severe the lesion, the less likely the infant is to achieve a full recovery. Patients with delayed recovery may benefit from microsurgical interventions. Contractures, bone deformities, and joint instability in the shoulder and forearm may develop as a result of muscle imbalance in growing children. Patients with persistent weakness, contractures, and deformities may require reconstructive procedures.
Case Study
- Venous Thrombotic Events Following  Simultaneous Bilateral Total Knee Arthroplasty 
  
  Shelain Patel, MRCS, Moataz El-Husseiny, MRCS, Fahad S Hossain, MRCS,  and Fares S Haddad, MCh (Orth), FRCS (Orth)
  
  University College London Hospital, London, UK
  
  This case study outlines the presentation and course of a patient undergoing simultaneous bilateral total knee arthroplasty who suffered venous thrombotic events postoperatively. Despite suffering a deep venous thrombosis and a pulmonary embolism, the patient went on to make a good recovery and had improved function 1 year following the surgery. In the article, the etiology of these events is explored, the place of the new oral anticoagulation medications is discussed, and whether simultaneous bilateral surgery confers an increased risk is debated.
Clinical Reviews
Meeting Reports
- The 28th Annual Meeting of the European Bone  and Joint Infection Society Vienna, Austria, September 17–19, 2009 
  
  Fernando Romero-Candau, MD
  
  FREMAP Hospital, Seville, Spain.
  
  The 28th Annual Meeting of the European Bone and Joint Infection Society (EBJIS) was held in Vienna, Austria, from the 17th to the 19th of September, 2009. The convention was split into seven main panels, which included, in addition to presentations, 76 speeches and 33 posters, underlining the increasing significance of bone and joint infection pathology. This report is a summary of the aspects of the meeting that the author found to be of the greatest interest.
- British Orthopaedic Association Annual Congress 2009 Manchester, UK, September 15–18, 2009 
  
  Shin-Jae Rhee, SpR, Juan de Dios Robinson, SpR, Danielle Wharton, SpR,  and David Barlow, SpR
  
  Wrexham Maelor Hospital NHS Trust, Wrexham, UK
  
  The British Orthopaedic Association (BOA) Annual Congress returned to Manchester, UK, during September 15–18, 2009. Held at Manchester Central, formerly known as the Manchester International Convention Centre–GMEX, this 4-day event included a range of social and educational events. Specifically themed for Continuing Professional Development, the congress officially started with sessions on medico-legal issues, Article 14 access, and courses on “training the trainers”. The scientific program included instructional lectures delivered by a number of distinguished speakers from across the country, as well as free papers and posters. One of the highlights of this year’s congress was the “Best of the Best” sessions, which covered the best free papers to be presented.

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May 20, 2012 CLOSE To subscribe to updates from this journal click Confirm. Updates will be displayed in your default RSS reader. Produced and published by Remedica Medical Education and Publishing Limited. » Contact us

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LATEST ARTICLES

Leading Articles

Nicola Maffulli, MD, MS, PhD, FRCS(Orth)1, Umile Giuseppe Longo, MD2, and Vincenzo Denaro, MD2

Marcin Sibinski, MD, PhD1, Makandjou-Ola Eusebio1, Himanshu Sharma MS(Orth), FRCS(Tr & Orth)2, and Marek Synder, MD, PhD1

Case Study

Shelain Patel, MRCS, Moataz El-Husseiny, MRCS, Fahad S Hossain, MRCS, and Fares S Haddad, MCh (Orth), FRCS (Orth)

Clinical Reviews

Meeting Reports

Fernando Romero-Candau, MD

Shin-Jae Rhee, SpR, Juan de Dios Robinson, SpR, Danielle Wharton, SpR, and David Barlow, SpR

Our most popular articles

May 20, 2012

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Nicola Maffulli, MD, MS, PhD, FRCS(Orth)¹, Umile Giuseppe Longo, MD², and Vincenzo Denaro, MD²

Marcin Sibinski, MD, PhD¹, Makandjou-Ola Eusebio¹, Himanshu Sharma MS(Orth), FRCS(Tr & Orth)², and Marek Synder, MD, PhD¹ 

Shelain Patel, MRCS, Moataz El-Husseiny, MRCS, Fahad S Hossain, MRCS,  and Fares S Haddad, MCh (Orth), FRCS (Orth)

Shin-Jae Rhee, SpR, Juan de Dios Robinson, SpR, Danielle Wharton, SpR,  and David Barlow, SpR