Arthroplasty Annotated Bibliography

Dr. Kristen Radcliff - Spinal Surgeon with the Rothman Institute An experienced physician who holds certification through the American Board of Orthopaedic Surgery, Dr. Kristen Radcliff holds a cum laude BS in biology from Harvard University and an MD from the Duke University School of Medicine. She completed a residency through the Department of Orthopedic Surgery at the Baylor College of Medicine and a spinal cord injury and spine surgery fellowship through Thomas Jefferson University. In addition to her fellowship at Thomas Jefferson, Kristen Radcliff, MD, served appointments at the University as both an associate professor of orthopedic surgery and an associate professor of neurological surgery. Since 2020, Dr. Kristen Radcliff has treated

DOI: 7/28/2014. Patient is a 33-year old male laborer who sustained injury when his left wrist twisted and snapped while using a drill. Per OMNI, he was initially diagnosed with dislocation of the left wrist. He underwent a tendon graft reconstruction on 08/07/14 and hardware removal on 09/11/14.

The pain that patients report is out of proportion to the severity of the injury. The pain gets worse, rather than better, over time. Eventually the joints become

Clinical Orthopaedics and Related Research®, 471(4),

Samantha Quinones of Sherwood Oregon had a surprise hip surgery on August 25, 2012. While riding her bike at the park the pain in her hip was to strong to continue. Since Samantha’s pain is hard to manage that she went to the doctors to make an opponent and then went back to the park but Samantha started to cry from the pain.

The report notes a prior shoulder surgery in 2002, on the right shoulder. An X-ray was done of the left shoulder, which did reveal degenerative changes in the acromioclavicular joint, as well as post-surgical changes, and degenerative changes on the right side in the acromioclavicular joint. The applicant was subsequently referred to an orthopedic surgeon, Dr. Peter Simonian. An MRI of the right shoulder was conducted on April 10, 2015, which noted tendinopathy of the supraspinatus and infraspinatus tendons. No tear of the rotator cuff, but a superior labrum anterior to posterior tear extending to the posterior labrum, as well as post-surgical changes.

The general purpose of the surgery is to remove the torn ligament and replace it with a tendon that is used less, most often used is the palmaris(Lasky). The palmaris is a tendon that is found within your wrist(Lasky). The surgery is continually successful, around ninety-seven percent of pitchers return to their previous level of success before being injured (Hoffman et al. 1). It is good that the success rate is high, however that leaves three percent that may never get to play at that level again. Research shows that around seventy major league pitchers’ arms have not worked properly since having the surgery(Apstein).

However, it is as paramount to know if a patient is a candidate for specific procedures. Surgeons must know if the patient’s body is suitable to undergo an extensive surgery. And under the requirements of anterior approach hip replacement, more than half of the patients who needs a hip replacement would not qualify for this procedure. Majority of the patients who undertake the surgery are 45 years or older. The age is now increasing by 10 years with 138,700 people to 310,800 people (Wolford, Palso, Bercovitz).

Experiencing pain in any part of the body will affect the simplest of daily activities. As a pain sufferer, the idea of going to the grocery store may seem like any overwhelming task. The pain may be originating from years of joint wear, an injury, or the slow progression of arthritis. Finding an expert to perform orthopedic surgery in Fountain Valley, CA may be the first step in restoring an individual to a more comfortable and active lifestyle. Research & Referrals

Imagine for a moment, a surgeon in the O.R. performing coronary artery bypass graft surgery. Their objective is to restore normal blood flow to the heart by grafting a vein or artery from the patient’s chest, leg or arm and bypass the blocked artery to the heart. Sounds simple enough. Oh, one more thing, the grafted artery is 2.8 mm in diameter, and there is certainly no shortage of blood and other bodily fluids obstructing the physicians view. In this situation, a surgeon’s ability to stay laser focused and not take their eyes of the patient is critical.

The phases included pain reduction, developing scapular stability, increasing ROM, muscular strengthening, and focusing on sensory motor training. The sensitivity was 76% and the ICC was listed as 0.41. The average Visual Analogue Scale for pain scores decreased from 6.25 to 0 while the ASORS test improved from the average 71.5 points to 90.5 points. A score of 90 to 100 points was considered to be an excellent result.4 To assess appropriate outcome measures, the Upper Extremity Functional Index (UEFI) and goniometric ROM, was completed at Derek’s initial evaluation and on his final day of treatment.

For example, if a player were to dislocate an elbow like Malcolm Mitchell recently did in early 2016, that often requires complex dislocation surgery to put the joint back in place, and to repair damage to the blood vessels and nerves in the joint during the

There are many different types of post surgical patients that utilize physical therapy but one more often than the others is a total knee replacement. Knee replacements are common in elderly people and is a treatment for pain and disability in the knee. The most common action that results in the knee replacement surgery is Osteoarthritis, which is the breakdown of joint cartilage that limits movement and causes pain in the knee. After getting a total knee replacement it is recommended to start physical therapy treatment within a few days of the surgery to get the knee moving and getting the mobility back. Physical therapists will help in the rehabilitation process by teaching the patients exercises to help strengthen the leg and increase movement in the knee and also with manual treatment.

Referencing the Table 1 level of evidence, this study would be categorized as level 2. The study reviewed all total hip arthroplasty (THA) and TKR surgeries that administered TXA intraoperatively from February 2012 to April 2014 (Formby, Pickett, & Van Blarcum et al., 2015). A total of 259 patients were identified; 165 TKA and 94 THA. Of the 165 TKA cases, 72 used TXA and 42 of the 94 THA cases used TXA (Formby, Pickett, & Van Blarcum et al., 2015). All patients underwent similar surgical approaches by the surgeon, received deep vein thrombosis prophylaxis treatment, and were screened and treated for a hemoglobin less than 7 (Formby, Pickett, & Van Blarcum et al., 2015).

email: ezatfoli2004@yahoo.com 3: assistant professor of orthopaedic surgery, orthopaedic surgery department, Minia University Hospital, Minia, Egypt ? email: m.laklok@yahoo.com 4: assistant professor of radiology, radiology department, Minia University Hospital, Minia, Egypt ? email: mohammed_amin37@yahoo.com Corresponding author *: Dr. Ahmed Fathy Sadek. Lecturer