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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Western Florida group is seeking immediate Orthopedic Surgery coverage. :: Florida :: Weatherby Locums
Job 9544148-0018 This medical group practice is currently looking for an Orthopedic Surgeon to help provide on-going coverage, ASAP. Cases include. Non-Surgical; Surgical; Arthroscopy; Sports Rehab:
North Carolina facility seeks Orthopedic Surgeon for holiday coverage. :: North Carolina :: Weatherby Locums
Job 9501792-0059 This established facility in currently in need of a general orthopedic surgery physician for locum tenens coverage. Cases include Surgical & Non-Surgical, Arthoscopy, TTL Joint Replacement-hip,
Orthopedic Surgeon needed to provide call coverage in Texas :: Texas :: Weatherby Locums
Job 9506033-0013 Group practice seeks Orthopedic Surgery physician to provide temporary coverage. Dates of coverage needed are in October, November and December. Assistance with hospital privileges

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

Repair of a large osteochondral defect in the knee joint using autologous and artificial bone graft combined with motion preserving distraction arthroplasty: a case report
Wed, 04 Nov 2009 19:52:25 -0000
Abstract  The biological reconstruction of a large osteochondral defect in the weight-bearing area of the knee joint has long been a challenge to orthopedic surgeons. We present a case of a large posttraumatic defect in the weight-bearing area of knee joint treated with a novel distraction arthroplasty device after reconstruction of the joint surface using combined autologous and artificial bone graft. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-009-0998-2Authors Mohamed Mahmoud Abouheif, Alexandria University Department of Orthopedic Surgery and Traumatology Alexandria EgyptMitsuhiro Nakamura, Hiroshima University Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551 JapanMasataka Deie, Hiroshima University Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551 JapanNobuo Adachi, Hiroshima University Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551 JapanMakoto Nishimori, Hiroshima University Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551 JapanSatoshi Sera, Hiroshima University Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551 JapanWirat Kongcharoensombat, Hiroshima University Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551 JapanMitsuo Ochi, Hiroshima University Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551 Japan Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Use of 18F-FDG-PET in the diagnosis of endoprosthetic loosening of knee and hip implants
Wed, 04 Nov 2009 19:52:19 -0000
Abstract Introduction  To diagnose septic and aseptic loosening 18-fluorodeoxyglucose positron emission tomography (18F-FDG-PET) has been described with good results for hip arthroplasties. The purpose of the present study was to examine whether there is a difference of feasibility in detecting loosening of hip versus knee prostheses by use of 18F-FDG-PET. Patients  Thirty-two patients with lower limb arthroplasty complaints (74 components) were studied preoperatively with 18F-FDG-PET. The interpretation of 18F-FDG-PET was done according to evaluated criteria. The final diagnosis based on intraoperative findings in all cases including microbiological examinations. Results  For hip arthroplasty sensitivity/specificity of 18F-FDG-PET towards implant loosening was 80%/87%. For infectious loosening of hip endoprostheses sensitivity/specificity was 67%/83%. In knee endoprostheses sensitivity/specificity for loosening was 56%/82% and 14%/89% for infection. The sensitivity of the results for knee and hip joints in regard to infectious versus aseptic loosening was significantly different. Conclusion  We confirm that 18F-FDG-PET is an appropriate tool to diagnose hip arthroplasty loosening. Differing from that 18F-FDG-PET showed a significant lower sensitivity/specificity in detecting septic loosening of knee endoprostheses. It may therefore be necessary to use different methods to diagnose loosening of endoprostheses depending on the type of implant which is examined. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-009-1000-zAuthors Susanne Mayer-Wagner, Ludwig-Maximilians-University Munich Department of Orthopaedic Surgery, Klinikum Großhadern Marchioninistr. 15 81377 Munich GermanyWolfgang Mayer, Praxisgemeinschaft Heimeranplatz Heimeranplatz 2 80339 Munich GermanySonja Maegerlein, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg Bergedorferstr. 10 21033 Hamburg GermanyRainer Linke, Friedrich-Alexander University of Erlangen Nuremberg Department of Nuclear Medicine, Klinikum Erlangen Krankenhausstr. 12 91054 Erlangen GermanyVolkmar Jansson, Ludwig-Maximilians-University Munich Department of Orthopaedic Surgery, Klinikum Großhadern Marchioninistr. 15 81377 Munich GermanyPeter E. Müller, Ludwig-Maximilians-University Munich Department of Orthopaedic Surgery, Klinikum Großhadern Marchioninistr. 15 81377 Munich Germany Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
UKA in combination with PFR at average 12-year follow-up
Tue, 03 Nov 2009 21:13:54 -0000
Abstract Introduction  Safety and efficacy of unicompartmental knee arthroplasty (UKA) has been shown in large patient series. Patellofemoral replacement (PFR) is known to be a viable solution to end-stage patellofemoral arthritis. Bicompartmental osteoarthritis (OA) affecting the medial tibio-femoral and the patello-femoral compartment (medio-patellofemoral OA) is often treated with total knee arthroplasty (TKA). It was hypothesized that medio-patellofemoral OA can successfully be treated with bicompartmental arthroplasty. Method  In a retrospective approach nine patients who had received UKA in combination with PFR were included into the study. Intact ACL and lateral compartment were conditions for the indication. Patients were clinically examined including clinical scores (KSS and WOMAC) and radiographies were evaluated. Satisfaction of patients was recorded under four categories. Results  Average follow-up after bicompartmental arthroplasty was 11.8 ± 5.4 years (4–17 years). Among the nine patients there were eight females and one male at an average age at operation of 64 ± 5 years. No surgical revisions were required following bicompartmental arthroplasty. The KSS score increased from a preoperative 68.8 ± 26.2 to 175.5 ± 22.9 at latest follow-up (p = 0.002). WOMAC was 18.3 ± 8.6 at latest follow-up. All patients included were satisfied (n = 3) or very satisfied (n = 6) with the outcome of this surgical procedure. Conclusion  This small case series shows that a bicompartmental arthroplasty can be a successful approach to prevent or postpone TKA. However, this intervention is technically demanding and requires experience in both UKA and PFR. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-009-0997-3Authors Thomas Jan Heyse, University Hospital Marburg Department of Orthopedics and Rheumatology Baldingerstrasse 35043 Marburg GermanyAhmed Khefacha, Institut du Genou, Clinique Hartmann Neuilly sur Seine Paris FrancePhilippe Cartier, Institut du Genou, Clinique Hartmann Neuilly sur Seine Paris France Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Three-dimensional analysis of the intramedullary canal axis of tibia: clinical relevance to tibia intramedullary nailing
Tue, 03 Nov 2009 11:09:03 -0000
Abstract Introduction  The aim of this study was to evaluate the appropriate insertion point for a tibial intramedullary nail by measuring the intramedullary canal axis of the tibia in three dimensions. Methods  Forty-three pairs (14 males and 29 females) of cadaveric low extremities (mean age 51 years, range 21–60 years) were analyzed to evaluate the appropriate insertion point for a tibial intramedullary nail by measuring the intramedullary canal axis of the tibia in three dimensions. Computed tomography was performed on 86 lower extremities from the hip to the ankle on cadavers. The location of the intramedullary canal axis of the tibia passing through the tibial plateau, the canal axis center (CAC), was measured. The correlations between the lateral tibial spine (LTS) and the mediolateral coordinates of the CAC were analyzed. Results  The CAC was located at 56.5% distance from the medial cortex. On average, the CAC was located 1.1 mm medial from the LTS. The mean length from the surface center to the CAC was lateral 4.5 mm. Conclusion  The appropriate insertion point for a tibial nail was the slightly medial aspect of the LTS. However, it led to the point with a broad range, increasing the necessity to take individual variations into consideration. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-009-0992-8Authors Sang Jun Song, Kyung Hee University Department of Orthopaedic Surgery, College of Medicine 1 Hoegi-dong, Dongdaemun-gu Seoul 130-702 KoreaBi O Jeong, Kyung Hee University Department of Orthopaedic Surgery, College of Medicine 1 Hoegi-dong, Dongdaemun-gu Seoul 130-702 Korea Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Management of osteoporosis-related bone fractures: an integrated concept of care
Tue, 03 Nov 2009 11:09:03 -0000
Abstract Introduction  Multidisciplinary medical management of osteoporosis and osteoporosis-related fractures is still an important treatment issue today. In view of ethiopathology of osteoporosis and the future demographic development an increasing socioeconomic burden has to be estimated. A prerequisite for an effective secondary prophylaxis of osteoporotic fractures is the implementation of a treatment network, with inclusion of all partners involved in patient’s care. Therefore, special attention should be paid to formation and establishment of centres with multidisciplinary and integrated treatment concepts. This paper outlines the concept of a clinical centre for diagnosis and therapy of osteoporosis established 4 years ago. Furthermore, a concept of integrated care of osteoporosis-related fractures is introduced and the obtained data of a 2-year follow-up analysis will be presented. Methods  The establishment of an osteoporosis centre at a university teaching hospital as well as certification according to the Dachverband Osteologie (DVO) guidelines were necessary. Recruitment of contract partners on both sides, health insurances and outpatient general practitioners as well as specialist doctors, was also essential. The implementation of an osteoporosis coordinator was a step to put the treatment concept into practice. Results and discussion  Based on the recommendations of DVO guidelines, all diagnostic and therapeutic requirements of osteoporosis can be met by the team of consultant specialists at a clinical osteoporosis centre. In the described treatment concept of integrated care, 44 patients suffering of osteoporosis with a consecutive fracture could be included. Mean age was 77. Inclusion criteria were spinal fractures (61%), proximal femoral fractures (27%) and peripheral fractures (12%). Fifty percent of patients included into the contract had not received previous osteoporosis medication. Sixty-eight patients who met the inclusion criteria could not be included due to the lack of compliance (42%), patients’ disapproval (34%) or incomplete treatment and documentation algorithm (24%). Special attention should focus on the completion of standardised diagnosis and documentation. The high amount of time and personnel required has proven the importance of the introduction of an osteoporosis coordinator to be essential. Content Type Journal ArticleCategory Osteoporotic Fracture ManagementDOI 10.1007/s00402-009-0989-3Authors Carsten Strassberger, Hospital Dresden-Friedrichstadt Department of Trauma, Reconstructive and Hand-Surgery Friedrichstrasse 41 01067 Dresden GermanyLeonore Unger, Hospital Dresden-Friedrichstadt 1st Medical Clinic Friedrichstrasse 41 01067 Dresden GermanyAndreas T. Weber, Hospital Dresden-Friedrichstadt Department of Orthopaedics and Orthopaedic Surgery Friedrichstrasse 41 01067 Dresden GermanyAlexander Defer, Grossenhainer Strasse 129 01129 Dresden GermanyFelix A. Bonnaire, Hospital Dresden-Friedrichstadt Department of Trauma, Reconstructive and Hand-Surgery Friedrichstrasse 41 01067 Dresden Germany Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Corrective osteotomy in symptomatic midshaft clavicular malunion using elastic stable intramedullary nails
Tue, 03 Nov 2009 11:09:03 -0000
Abstract Introduction  It is our goal to present an alternative, less invasive surgical technique for corrective osteotomy in symptomatic midshaft clavicular malunion using elastic stable intramedullary nails (ESIN) and to present our results in a consecutive patients series. Method and patients  Between January 2003 and December 2006, five patients aged between 23 and 44 years presented with a symptomatic malunion after nonoperative treatment of displaced midshaft clavicular fractures. Corrective osteotomy was performed without bone grafting. Results  The osteotomy sites united in all patients after a mean of 4.4 months. The nails were removed in all patients after 7 months. At final follow-up, DASH and Constant Scores were significantly improved compared to preoperative values. Patients were significantly more satisfied with cosmetical appearance and overall outcome. Clavicular shortening was also significantly improved. Elastic stable intramedullary nailing leads to favourable results in corrective osteotomy of malunited midshaft clavicular fractures. Conclusion  We therefore recommend this technique for corrective osteotomy of symptomatic midshaft clavicular malunions. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-009-0994-6Authors Vinzenz Smekal, Innsbruck Medical University Department of Trauma Surgery and Sports Medicine Anichstraße 35 6020 Innsbruck AustriaChristian Deml, Innsbruck Medical University Department of Trauma Surgery and Sports Medicine Anichstraße 35 6020 Innsbruck AustriaFlorian Kamelger, Innsbruck Medical University Department of Trauma Surgery and Sports Medicine Anichstraße 35 6020 Innsbruck AustriaChristian Dallapozza, Innsbruck Medical University Department of Trauma Surgery and Sports Medicine Anichstraße 35 6020 Innsbruck AustriaDietmar Krappinger, Innsbruck Medical University Department of Trauma Surgery and Sports Medicine Anichstraße 35 6020 Innsbruck Austria Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051

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