Orthopedic surgery or orthopedics (also spelled orthopaedics, see below) is the branch of surgery concerned with acute, chronic, traumatic, and overuse injuries and other disorders of the musculoskeletal system. Orthopaedic surgeons address most musculoskeletal aliments including arthritis, trauma and congenital deformities using both surgical and non-surgical means.

Training

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Orthopedic surgeons are physicians who have completed additional training in orthopedic surgery after the completion of medical school. According to the latest Occupational Outlook Handbook (2006-2007) published by the U.S. Department of Labor, between 3-4% of all practicing physicians/surgeons are orthopedic surgeons.

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Permanent Orthopedics Jobs

Looking for 2 Orthopods in Beautiful Florida -- Fellowship-trained in Joints and/or Hand/Upper Extre :: Florida :: CompHealth Inc
Job 92240 MSG - Join 6 others Join a very successful and stable group Call 1:7 Must be comfortable with general as well for call and building practice Must be comfortable with trauma Great net reimbursements
Foot & Ankle/Orthopaedic Surgeon - Working in our nations capital :: Virginia :: CompHealth Inc
Job 92267 Join 2 other fellowshiped trained Foot & Ankle Orthopaedic Surgeons. Great Location - Washington D.C. Join 2 other Foot & Ankle Orthopaedic Surgeons Salary + Bonus Structure Great Payor Mix
Great Location in Southern Wisconsin needs an Orthopedic Surgeon! :: Wisconsin :: CompHealth Inc
Job 92228 Close to big cities, yet far enough away...Great quality of life! Work with a highly regarded group! General orthopedics, however client will look at Spine and Total Joints. Light call 4 day

All Orthopedic Foot and Ankle Jobs

Referrals from 1000+ Physicians in Major Metro, ‘Most Recession-Proof City’ in 2008, #5211 :: Oklahoma :: Timeline Recruiting
Come work for one of the most prestigious groups in the state. With about 20 Orthopaedic Surgeons in the group, you will have adequate support from day one. With the current share of the market, any
Orthopedic (Hand, Foot & Ankle) Physician Jobs in Coastal North Carolina :: North Carolina :: MedPro Search - Recruiting For Physician Jobs
A North Carolina Orthopedic Group is looking for a hand, and a foot and ankle orthopedic surgeon that wants to practice very close to the coast of North Carolina. You will be practicing with 8 orthopedic
Call for More Information :: Massachusetts :: 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

Archives of Orthopaedic and Trauma Surgery

Biological osteosynthesis of complex proximal humerus fractures: surgical technique and results from a prospective single center trial
Sat, 12 Dec 2009 14:16:31 -0000
Abstract Introduction  Locked plating for complex proximal humerus fractures through a deltopectoral incision can be difficult due to the fracture morphology and need for fixed angle screws. Although good results have been reported with the deltopectoral approach; technical difficulties, excessive soft tissue stripping and fears of avascular necrosis have lead to the use of minimal access techniques. Method  Fifteen patients with three or four part fractures were treated by locked plating through a mini-invasive lateral trans-deltoid approach. All patients were relatively young with good bone quality and had sustained a high-velocity injury. Initial closed reduction was attempted in all patients, but majority of the patients (9/15) required open reduction to achieve a satisfactory reduction. Results  Union was achieved in all patients. All fractures united with an acceptable alignment. There were no incidences of axillary nerve palsy. There were no incidences of hardware failure or loss of reduction. There were no incidences of avascular necrosis at 1-year follow-up. The mean normalized constant score at last follow-up was 85.24. Conclusion  Locked plating through lateral trans-deltoid incision may offer a better alternative to the deltopectoral approach in these complex fractures where locked plating is contemplated. It respects the fracture biology, allows ease in placement of the locking plate and angle stable screws and offers a stable construct with less surgical morbidity. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-009-1028-0Authors Ashok S. Gavaskar, Parvathy Ortho Hospital No: 8, Sakthi Villa Apartments, Gandhi Road, Gill Nagar, Choolaimedu Chennai 600094 Tamilnadu IndiaS. Muthukumar, Parvathy Ortho Hospital No: 8, Sakthi Villa Apartments, Gandhi Road, Gill Nagar, Choolaimedu Chennai 600094 Tamilnadu IndiaNaveen Chowdary, Saveetha Medical College and Research Institute Chennai India Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Infected nonunions of diaphyseal fractures of the forearm
Thu, 10 Dec 2009 15:16:37 -0000
Abstract Background  There are no reported series that specifically deal with repair of infected nonunions of the diaphysis of the forearm bones. We sought to determine whether a standardized treatment protocol we have utilized for 15 patients from 1989 to 2005 results in a high union rate, resolution of infection, and a good functional outcome. Methods  The study cohort included nine male and six female patients who presented to a University hospital setting with an infected nonunion of the diaphysis of the radius or ulna. Every patient had a minimum of 2-year follow-up. The average patient age was 45 years (range 17–79). Eight of the patients had fractures involving their dominant arm. Thirteen patients had initially fractured both the radius and ulna, but two of these patients had subsequently healed one of the bones. One patient had an isolated radius fractures, and one patient fractured the ulna alone. All patients underwent a protocol that combines aggressive surgical debridements as necessary, definitive fixation after 7–14 days, tricortical iliac crest bone grafting for segmental defects, leaving wounds open to heal by secondary intention, 6 weeks of culture-specific intravenous antibiotics, and early active range of motion (ROM) exercises. We sought to report our success rate of nonunion repair, number of re-interventions, complication rate, final ROM, and the ability to eradicate the infection using this treatment regimen. Results  At most recent follow-up (average 5 years, range 2–15 years), all patients had united and resolved their infections. One case was considered a failure, although he did go on to unite a one-bone forearm and was free of infection at most recent follow-up. All but three patients, including the one failure, had at least 50° of supination/pronation and 30–130° of flexion/extension arc. Excluding the one failure that united his one-bone forearm at 46 months, the average time to union was 13.2 weeks (range 10–15 weeks). Conclusions  The results of this study indicate that our standard protocol for treatment of infected nonunion of the shafts of the radius and ulna is reliable at obtaining fracture union with a good functional result, while also resolving the infection. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-009-1016-4Authors Mark L. Prasarn, University of Rochester Orthopaedic Trauma Attending Rochester NY USAE. Anne Ouellette, University of Miami Investigation from the Department of Orthopaedics and Rehabilitation, Jackson Memorial Hospital Miami FL USADavid R. Miller, University of Miami Investigation from the Department of Orthopaedics and Rehabilitation, Jackson Memorial Hospital Miami FL USA Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Do we need femoral derotation osteotomy in DDH of early walking age group? A clinico-radiological correlation study
Thu, 10 Dec 2009 15:16:37 -0000
Abstract Introduction  The occurrence of exaggerated femoral anteversion and the role of femoral derotation osteotomy in developmental dysplasia of hip, especially early walking age group are controversial. Method  We evaluated femoral anteversion, acetabular anteversion, acetabular index in 15 dislocated hips and 11 normal hips in cases of unilateral dislocation of hip in DDH of age group 12–48 months. We correlated this femoral anteversion with the intra operative “test of stability” which is described by Zadeh et al. We found that there was no statistically significant difference in femoral anteversion between dislocated and normal hips. In all the 15 cases we did open reduction by anterior approach (Somerville approach) and evaluated the position for maximum stability. In 3 cases we were unable to perform test of stability as they needed femoral shortening for reduction of joint. Results  In the rest 12 hips, 10 were stable in flexion and abduction while 2 were stable in flexion. None of the hips required internal rotation for stability. Hence we did salters osteotomy in all the hips and femoral shortening through lateral approach in 3 cases. At a minimum follow up of 18 months all the hips were clinically stable and none of them dislocated till final follow up. The mean correction of acetabular index was 15.4° and the outcome was excellent in 8 hips and good in 7 hips as per modified McKay’s criteria. Hence we recommend that femoral derotation osteotomy is not needed in DDH of early walking age group. Conclusion  As the surgical treatment of DDH involves complex osteotomies around the hip and these surgeries have effect on long term outcome, MRI evaluation of femoral anteversion as a part of pre operative evaluation is advised. Also, as the intra operative evaluation needs enough clinical experience and it can not be performed in cases requiring femoral shortening for reduction, we consider pre operative evaluation of femoral anteversion by MRI as essential rather than adjunctive. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-009-1020-8Authors Aditya Krishna Mootha, Postgraduate Institute of Medical Education and Research Department of Orthopaedics Sector 12, Room No: 323, P-Block, New Doctors Hostel Chandigarh 160012 IndiaRaghav Saini, Postgraduate Institute of Medical Education and Research Department of Orthopaedics Sector 12, Room No: 323, P-Block, New Doctors Hostel Chandigarh 160012 IndiaMandeep Dhillon, Postgraduate Institute of Medical Education and Research Department of Orthopaedics Sector 12, Room No: 323, P-Block, New Doctors Hostel Chandigarh 160012 IndiaSameer Aggarwal, Postgraduate Institute of Medical Education and Research Department of Orthopaedics Sector 12, Room No: 323, P-Block, New Doctors Hostel Chandigarh 160012 IndiaEmal Wardak, Wazir Akbar Khan Government Hospital Kabul 10010 AfghanistanVishal Kumar, Postgraduate Institute of Medical Education and Research Department of Orthopaedics Sector 12, Room No: 323, P-Block, New Doctors Hostel Chandigarh 160012 India Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Partial versus unrestricted weight bearing after an uncemented femoral stem in total hip arthroplasty: recommendation of a concise rehabilitation protocol from a systematic review of the literature
Thu, 10 Dec 2009 15:16:37 -0000
Abstract  The aim of this systematic review was to find evidence-based support in the literature to allow immediate unrestricted weight bearing after primary uncemented total hip arthroplasty (THA). Accelerated rehabilitation programs for THA are becoming increasingly popular to shorten hospital stay and to facilitate rapid restoration of function. The goals of these rehabilitation programs could be more easily achieved if immediate unrestricted weight bearing (UWB) could be allowed after a THA. So far, however, immediate weight bearing is frequently contraindicated in widely accepted protocols for uncemented THA due to fear for subsidence and absence of osseous integration of the femoral stem. Thus, frequently protected weight bearing and restricted activities are still advocated for at least 6 weeks after surgery. In addition, we analyzed the literature to come to a recommendation on gait pattern and walking aid. From a systematic search in several electronic databases 13 studies met the inclusion criteria. These studies were reviewed according to the Cochrane methodology. We found moderate to strong evidence that no adverse effects on subsidence and osseous integration of the femoral stem after uncemented THA occur after immediate UWB. Based on this literature review, we recommend early rehabilitation after uncemented THA with a reciprocally gait pattern using crutches, one cane for independency in ADL in case patients walk limp-free and walking without crutches as soon as possible. During the first weeks after surgery only stair climbing should be performed with protected weight bearing because of high torsion loads on the hip. Content Type Journal ArticleCategory Orthopaedic Outcome AssessmentDOI 10.1007/s00402-009-1017-3Authors A. M. Hol, Rijnstate Hospital Department of Physiotherapy Wagnerlaan 55 6800 TA Arnhem The NetherlandsS. van Grinsven, Rijnstate Hospital Department of Physiotherapy Wagnerlaan 55 6800 TA Arnhem The NetherlandsC. Lucas, Academic Medical Centrum Department of Clinical Epidemiology and Biostatistics Amsterdam The NetherlandsJ. L. C. van Susante, Rijnstate Hospital Department of Orthopedics Arnhem The NetherlandsC. J. M. van Loon, Rijnstate Hospital Department of Orthopedics Arnhem The Netherlands Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Digit and hand replantation
Thu, 10 Dec 2009 15:16:36 -0000
Abstract  For the past 45 years, the advent of microsurgery has led to replantation of almost every amputated part such as distal phalanx, finger tip, etc. Replantation of digits and hand can restore not only circulation, but also function and cosmetic of the amputated part. The goals of replantation are to restore circulation and regain sufficient function and sensation of the amputated part. Strict selection criteria are necessary to optimize the functional result. The management of this type of injuries includes meticulous preoperative management, microsurgical experience and continuous postoperative care. Among various factors influencing the outcome, the most important are the type and the level of injury, ischemia time, history of diabetes, age, sex, and smoking history. During the replantation procedure, bone stabilization, tendon repair, arterial anastomoses, venous anastomoses, nerve coaptation, and skin coverage should be performed. All structures should be repaired primarily, unless a large nerve gap or a flexor tendon avulsion injury is present. Adequate postoperative evaluation is mandatory to avoid early or late complications. To improve functional results, many replantation patients may need further reconstructive surgery. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-009-1021-7Authors Alexandros E. Beris, University of Ioannina, School of Medicine Department of Orthopaedic Surgery 45110 Ioannina GreeceMarios G. Lykissas, University of Ioannina, School of Medicine Department of Orthopaedic Surgery 45110 Ioannina GreeceAnastasios V. Korompilias, University of Ioannina, School of Medicine Department of Orthopaedic Surgery 45110 Ioannina GreeceGregory I. Mitsionis, University of Ioannina, School of Medicine Department of Orthopaedic Surgery 45110 Ioannina GreeceMarios D. Vekris, University of Ioannina, School of Medicine Department of Orthopaedic Surgery 45110 Ioannina GreeceIoannis P. Kostas-Agnantis, University of Ioannina, School of Medicine Department of Orthopaedic Surgery 45110 Ioannina Greece Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Effect of partial medial meniscectomy on the proprioceptive function of the knee
Thu, 10 Dec 2009 15:16:35 -0000
Abstract Introduction  The aim of this study was to assess the proprioception of the partial meniscectomized knee and to assess if there is an effect on the knee proprioception. Materials and methods  We performed a case–control study involving patients with meniscus tear at the posterior horn of medial meniscus. Group 1 composed of 19 patients, with an average age of 26.3 years, who were enrolled after sustaining an injury to the medial meniscus. Twenty healthy individuals, with an average age of 25.1, without history of knee injury, constituted Group 2. In order to document the proprioceptive capabilities of the knee, angle reproduction tests were performed. Results  At a mean of 2 years after the surgery, there was no difference between the meniscectomized and healthy knee regarding the angle deviations in the lower flexion angles (15°, 30°, 45°). However, mean knee joint position sense (KJPS) at 60° reproduction in Group 1 and 2 was 64.3 (SD 5.3) and 69.2 (SD 4.9), respectively. Concomitantly, mean KJPS at 75° reproduction in Group 1 and 2 were 80.1 (SD 6.59) and 74.4 (SD 5.6), respectively. Paired t test showed a statistically significant difference between Group 1 and 2 when compared to control angle deviations at 60° and 75° reproductions (P < 0.05). Conclusion  KJPS of the patients in meniscectomized group was poorer than the patients in healthy knee group at 60° and 75° knee flexion degrees. Those results indicated that even a partial absence of menisci causes a deterioration of proprioceptive functions of the knee. Content Type Journal ArticleCategory Arthroscopy and Sports MedicineDOI 10.1007/s00402-009-1018-2Authors Mustafa Karahan, Marmara University Department of Orthopedics and Traumatology, Faculty of Medicine Istanbul TurkeyBaris Kocaoglu, Acibadem University Department of Orthopedic Surgery, Acibadem Kadikoy Hospital, Faculty of Medicine Istanbul TurkeyCengiz Cabukoglu, Pendik Sifa Hospital Department of Orthopedic Surgery Istanbul TurkeyUmut Akgun, Acibadem University Department of Orthopedic Surgery, Acibadem Kozyatagi Hospital, Faculty of Medicine Istanbul TurkeyRustu Nuran, Acibadem University Department of Orthopedic Surgery, Acibadem Kozyatagi Hospital, Faculty of Medicine Istanbul Turkey Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051

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