This article describes clinic, a type of medical facility. For information on the band of the same name, see Clinic (band).

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Permanent Orthopedics Job in Whitesburg Kentucky with Appalachian Regional Healthcare
Whitesburg ARH Hospital BC/BE Orthopedic Surgeon Whitesburg ARH Hospital is seeking a BC/BE Orthopedic Surgeon to join its medical staff. Our 90-bed community hospital prides itself with a high tech-high
Permanent Orthopedics Job in Whitesburg Kentucky with Appalachian Regional Healthcare
Whitesburg ARH Hospital BC/BE Orthopedic Surgeon Whitesburg ARH Hospital is seeking a BC/BE Orthopedic Surgeon to join its medical staff. Our 90-bed community hospital prides itself with a high tech-high
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Hazard ARH Hospital BC/BE Orthopaedic Surgeon Hazard ARH Regional Medical Center is seeking a BC/BE Orthopaedic Surgeon to join its medical staff. Our 308-bed regional medical center prides itself

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Permanent Orthopedic Foot and Ankle Job in Miami Florida with Mercy Hospital
Orthopaedic Institute Expanding BC/BE Orthopaedic Surgeons with Fellowship training in Foot & Ankle, Spine Surgery, Total Joint Replacement & Reconstruction. Group practice with physical therapy component.
Permanent Orthopedic Foot and Ankle Job in Not Disclosed Florida with Locum Medical Group
A well established orthopedic practice in southern Florida is seeking an Orthopedic Surgeon. The ideal candidate will be Board Certified or Board Eligible in Orthopedic Surgery with fellowship training
Permanent Orthopedic Foot and Ankle Job in Dallas Texas with Executec Recruiters
To join a 2-physician single specialty ORS group.For more information, email CV in Word format to sales@executecrecruiters.com

Archives of Orthopaedic and Trauma Surgery

Three-dimensional measurement of femoral antetorsion: comparison to a conventional radiological method
Wed, 01 Jul 2009 06:14:05 -0000
Abstract Purpose  The aim of our study was to produce a 3-D reconstruction of a CT dataset and compare it to the conventional method, with that same dataset, in terms of precision and the influence of femoral positioning. Methods  A mechanical support was developed to rigidly fix the femur in a designated position. After measuring the real AT, a CT scan with different femur positions was performed. Eight cadaveric specimens were utilized for this study. Each examination was performed twice and the mean value was recorded. The Jend method was chosen as the conventional mode for femoral antertorsion measurement. In the 3-D reconstruction, the angle between the femoral neck and trailing edge of the femoral condyles was measured. Results  Measurement of the AT by 3-D reconstruction (0.8°) was significantly better than the conventional method after (3.0°; P = 0.016). The positioning of the femur influences measurement of the femoral AT angle by conventional method measurement whereas evaluation using the 3-D reconstruction was more independent of femoral positioning. Conclusion  3-D reconstruction enables precise determination of the femoral AT angle, and is independent of femoral positioning as conventional methods seem to be. In clinical practice, 3-D reconstruction may allow a greater understanding of the femoral AT angle post fracture reduction and internal fixation. However, we believe the 3-D method of measuring the AT-angle can potentially optimize the patient’s treatment outcome by allowing the orthopaedic surgeon to measure the femoral AT-angle more precisely after femoral fracture reduction. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-009-0923-8Authors Musa Citak, Hannover Medical School Trauma Department Hannover GermanyMarkus Oszwald, Hannover Medical School Trauma Department Hannover GermanyPadhraig F. O’Loughlin, Hospital for Special Surgery Department of Orthopaedic Surgery 535 East 70th Street New York NY 10021 USAMustafa Citak, Hannover Medical School Trauma Department Hannover GermanyDaniel Kendoff, Hospital for Special Surgery Department of Orthopaedic Surgery 535 East 70th Street New York NY 10021 USATobias Hüfner, Hannover Medical School Trauma Department Hannover GermanyChristian Krettek, Hannover Medical School Trauma Department Hannover Germany Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Transforaminal lumbar interbody fusion with one cage and excised local bone
Tue, 30 Jun 2009 15:40:38 -0000
Abstract Introduction  The effect of transforaminal lumbar interbody fusion (TLIF) with one cage and excised local bone were investigated in 52 patients with a mean follow-up of 18.2 months. Method  The clinical outcomes including the modified Prolo scale and a visual analog scale (VAS), and radiological assessments including the ratio of interbody graft area, fusion rate, posterior disk height (PH), and the lordosis angle (LA) of the motion segment were studied. Results  According to a modified Prolo scale, 90.4% of the patients obtained either excellent or good results. The VAS significantly decreased postoperatively. There was significant postoperative improvement of the PH and LA, and no significant loss of the PH and LA was found at final follow-up. The fusion rate in this series was 96.6%. Conclusion  In conclusion, TLIF with one cage and excised local bone grafting can provide satisfactory treatment outcomes and solid interbody fusion without harvesting and grafting autologous iliac bone. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-009-0917-6Authors Yuxiang Xiao, The Second Affiliated Hospital of Medical College, Zhejiang University Department of Orthopaedics No.88, Jefang Road 310009 Hangzhou City Zhejiang Province ChinaFangcai Li, The Second Affiliated Hospital of Medical College, Zhejiang University Department of Orthopaedics No.88, Jefang Road 310009 Hangzhou City Zhejiang Province ChinaQixin Chen, The Second Affiliated Hospital of Medical College, Zhejiang University Department of Orthopaedics No.88, Jefang Road 310009 Hangzhou City Zhejiang Province China Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Epidural abscess associated with pyogenic spondylodiscitis of the lumbar spine; evaluation of a new MRI staging classification and imaging findings as indicators of surgical management: a retrospective study of 37 patients
Tue, 30 Jun 2009 15:40:37 -0000
Abstract Introduction  The aim of this study was to review the patients with lumbar epidural abscess in terms of neurological morbidity, therapeutic outcome, and prognosis, while assessing the usefulness of a new MRI staging classification and specific imaging findings as indicators for surgical management. Materials and methods  We reviewed 37 patients who sustained epidural abscess associated with pyogenic spondylodiscitis of the lumbar spine. Ten patients were treated conservatively, while 27 required urgent or elective surgical drainage. We studied patients with respect to symptomatology, Frankel-American Spinal Injury Association (ASIA) scale evaluation and a new proposed system of MRI staging of pyogenic spondylodiscitis (stages I–V). Results  Of the 37 patients with stage IV and V MRI lesions, 13 (35%) had septicemia and 8 (22%) presented with Frankel-ASIA scale C-D neurological status. All cases with ringlike enhancement on gadolinium-enhanced MRI in the epidural abscess lesions were treated surgically. Progression of local kyphosis and loss of intervertebral disk height were significantly prevented in the surgical group (P < 0.05). Improvements of neurological status and laboratory data were better in the surgical group than the conservative group (P < 0.05), with significantly short hospital stay (P < 0.05). Discussion  Epidural abscess associated with pyogenic spondylodiscitis presents with various neurological symptoms. In addition to assessment of progression by clinical symptomatology, modified neurological Frankel-ASIA scaling and the currently proposed MRI staging regimen may help to consider the timing of surgical intervention. In the acute, subacute or acute-on-chronic phase and the ringlike enhancement pattern of epidural abscess on gadolinium-enhanced MRI may be an indicator for surgery. Content Type Journal ArticleCategory Orthopaedic Outcome AssessmentDOI 10.1007/s00402-009-0928-3Authors Kenzo Uchida, Fukui University Faculty of Medical Sciences Department of Orthopaedics and Rehabilitation Medicine Matsuoka Shimoaizuki 23 Eiheiji Fukui 910-1193 JapanHideaki Nakajima, Fukui University Faculty of Medical Sciences Department of Orthopaedics and Rehabilitation Medicine Matsuoka Shimoaizuki 23 Eiheiji Fukui 910-1193 JapanTakafumi Yayama, Fukui University Faculty of Medical Sciences Department of Orthopaedics and Rehabilitation Medicine Matsuoka Shimoaizuki 23 Eiheiji Fukui 910-1193 JapanRyuichiro Sato, Fukui University Faculty of Medical Sciences Department of Orthopaedics and Rehabilitation Medicine Matsuoka Shimoaizuki 23 Eiheiji Fukui 910-1193 JapanShigeru Kobayashi, Fukui University Faculty of Medical Sciences Department of Orthopaedics and Rehabilitation Medicine Matsuoka Shimoaizuki 23 Eiheiji Fukui 910-1193 JapanKe-Bing Chen, Fukui University Faculty of Medical Sciences Department of Orthopaedics and Rehabilitation Medicine Matsuoka Shimoaizuki 23 Eiheiji Fukui 910-1193 JapanErisa S. Mwaka, Fukui University Faculty of Medical Sciences Department of Orthopaedics and Rehabilitation Medicine Matsuoka Shimoaizuki 23 Eiheiji Fukui 910-1193 JapanHisatoshi Baba, Fukui University Faculty of Medical Sciences Department of Orthopaedics and Rehabilitation Medicine Matsuoka Shimoaizuki 23 Eiheiji Fukui 910-1193 Japan Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Rivaroxaban and dabigatran etexilate: two new oral anticoagulants for extended postoperative prevention of venous thromboembolism after elective total hip arthroplasty
Tue, 30 Jun 2009 15:40:35 -0000
Abstract  Extended thromboprophylaxis is vital in patients undergoing total hip arthroplasty (THA) because of the prolonged risk of venous thromboembolism (VTE). Despite evidence that extended prophylaxis can reduce the incidence of symptomatic VTE in this high-risk patient population and the evidence-based guideline recommendations, a large proportion of patients still do not receive an adequate duration of thromboprophylaxis. This is partly due to the limitations of conventional anticoagulants, such as the subcutaneous route of administration or the requirement for routine coagulation monitoring and dose adjustment. New oral anticoagulants (such as the direct thrombin inhibitor dabigatran etexilate and the Factor Xa inhibitor rivaroxaban) could address the current unmet need. Phase III clinical studies in VTE prevention in patients undergoing THA and total knee arthroplasty (TKA) showed that dabigatran etexilate was non-inferior to the EU regimen of enoxaparin, but did not achieve non-inferiority to the US regimen of enoxaparin. In contrast, rivaroxaban demonstrated superiority to both enoxaparin regimens for the prevention of VTE after THA and TKA, without a significant increase in major bleeding rates. Their convenient, once-daily, fixed dosing, with no need for routine coagulation monitoring, could facilitate adherence to evidence-based guideline recommendations of extended thromboprophylaxis after THA. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-009-0930-9Authors Lars C. Borris, Århus University Hospital Department of Orthopaedics Nørrebrogade 44 Århus C Denmark Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Spondylodiscitis of the lumbar spine in a non-immunocompromised host caused by Yersinia enterocolitica O:9
Mon, 29 Jun 2009 10:07:17 -0000
Abstract  Here presented is an extremely rare case of a spinal osteomyelitis (L5–S1) with epidural empyema in a non-immunocompromised 62-year-old man caused by Yersinia enterocolitica O:9. The infection occurred acutely and required immediate surgical treatment. Y. enterocolitica was cultured from the empyema fluid, wound swabs of the intervertebral disc L5–S1 and stool cultures. Following the surgical decompression and antibiotic treatment, the patient recovered completely, without neurological deficits. A review of the literature revealed only sparse cases of spondylodiscitis due to other Y. enterocolitica serogroups. To our knowledge, we report here the first case of a spondylodiscitis of the lumbar spine caused by Y. enterocolitica serovar O:9 in a non-immunocompromised patient. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-009-0921-xAuthors Martin Ellenrieder, University of Rostock Department of Orthopaedics Doberaner Straße 142 18057 Rostock GermanyAndreas E. Zautner, University of Rostock Department of Microbiology, Virology and Hygiene Schillingallee 70 18055 Rostock GermanyAndreas Podbielski, University of Rostock Department of Microbiology, Virology and Hygiene Schillingallee 70 18055 Rostock GermanyRainer Bader, University of Rostock Department of Orthopaedics Doberaner Straße 142 18057 Rostock GermanyWolfram Mittelmeier, University of Rostock Department of Orthopaedics Doberaner Straße 142 18057 Rostock Germany Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Early results in the treatment of proximal humeral fractures with a polyaxial locking plate
Mon, 29 Jun 2009 10:07:11 -0000
Abstract Objectives  We report early results using a second generation locking plate, non-contact bridging plate (NCB PH®, Zimmer Inc. Warsaw, IN, USA), for the treatment of proximal humeral fractures. The NCB PH® combines conventional plating technique with polyaxial screw placement and angular stability. Design  Prospective case series. Setting  A single level-1 trauma center. Patients  A total of 50 patients with proximal humeral fractures were treated from May 2004 to December 2005. Intervention  Surgery was performed in open technique in all cases. Main outcome measures  Implant-related complications, clinical parameters (duration of surgery, range of motion, Constant–Murley Score, subjective patient satisfaction, complications) and radiographic evaluation [union, implant loosening, implant-related complications and avascular necrosis (AVN) of the humeral head] at 6, 12 and 24 weeks. Results  All fractures available to follow-up (48 of 50) went to union within the follow-up period of 6 months. One patient was lost to follow-up, one patient died of a cause unrelated to the trauma, four patients developed AVN with cutout, one patient had implant loosening, three patients experienced cutout and one patient had an axillary nerve lesion (onset unknown). The average age- and gender-related Constant Score (n = 35) was 76. Conclusions  The NCB PH® combines conventional plating technique with polyaxial screw placement and angular stability. Although the complication rate was 19%, with a reoperation rate of 12%, the early results show that the NCB PH® is a safe implant for the treatment of proximal humeral fractures. Content Type Journal ArticleCategory Trauma SurgeryDOI 10.1007/s00402-009-0924-7Authors Johannes B. Erhardt, Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen 9007 St. Gallen SwitzerlandG. Roderer, Universitätsklinik Ulm Abteilung für Unfallchirurgie Ulm GermanyK. Grob, Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen 9007 St. Gallen SwitzerlandT. N. Forster, Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen 9007 St. Gallen SwitzerlandK. Stoffel, The University of Western Australia Fremantle Orthopaedic Unit Perth WA AustraliaM. S. Kuster, Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen 9007 St. Gallen Switzerland Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051

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