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The increasing financial burden of orthopaedic implants on our health care system has prompted cost-control measures, such as implant reprocessing. The purpose of this study was to describe the current usage b...
The aim was to analyze hepatic hypertrophy after portal vein embolization (PVE) and Associating Liver Partition with Portal vein ligation for Staged hepatectomy (ALPPS) to determine whether clinical circumstan...
The disease modifying potential of osteoarthritis therapies are of increasing interest, including their effects on delaying total knee replacement (TKR). To date, there have been no studies to determine the ef...
Risk assessment in surgery is essential to guide treatment decisions but is highly variable in practice. Providing formal preoperative risk assessment to surgical teams and patients may optimize understanding ...
The predictors of shunt dependency such as amount of subarachnoid blood, acute hydrocephalus (HC), mode of aneurysm repair, clinical grade at admission and cerebro spinal fluid (CSF) drainage in excess of 1500...
The recurrence rate in lumbar disc herniations (LDH) has been reported between 5 and 25%. There are only few data about this phenomenon that occurs within days of the initial operation. We analyse early recurr...
Seroma is the most frequent postoperative complication following breast cancer surgery. Our aim was to evaluate the effect of the harmonic focus scalpel versus electrocautery in reducing seroma formation post-...
This case report describes the mechanical failure of a femoral lengthening nail in order to allow early recognition and prevent its occurrence.
We aimed to explore the feasibility and attitudes towards using video replay augmented with real time stress quantification for the self-assessment of clinical skills during simulated surgical ward crisis mana...
The prediction of postoperative complications is important for oral and maxillofacial surgeons. We herein aimed to evaluate the efficacy of the Estimation of Physiologic Ability and Surgical Stress (E-PASS) an...
Retrieval of inferior vena cava filters (IVCFs) is important to decrease the long-term risk of complications associated with indwelling devices. Our hospital experienced low retrieval rates and implemented a l...
The treatment of humeral fractures remains controversial. Systematic reviews demonstrate similar results between dynamic compression plating and locked intramedullary nailing in the surgical treatment of these...
Emergency surgery is unplanned by definition and patients are scheduled for surgery with minimal preparation. Some patients who have sustained emergency orthopaedic trauma or other conditions must be operated ...
The modularity in total hip arthroplasty (THA) allows orthopaedic surgeons for an exact reconstruction of hip biomechanical parameters especially in revision and tumor arthroplasty. Modular structured femoral ...
Radiation exposure is a concern in the field of medicine. Deformity spine surgeons depend on modalities that have high exposure through scoliosis x-rays or computed tomography. The use of fluoroscopy has incre...
Candida parapsilosis is a rare opportunistic pathogen that can be found in immunosuppressed patients. There are seldom-reported cases of fungal osteomyelitis surrounding orthopedic imp...
Unnecessary invasive procedures risk harming patients physically, emotionally, and financially. Very little is known about the factors that provide the motive, means, and opportunity (MMO) for unnecessary proc...
A novel index, total liver LU15, has been identified as a surrogate marker for liver function. We evaluated the ability of preoperative remnant liver LU15 values to predict postoperative hepatic failure.
Accidental foreign body ingestion is a common phenomenon in children between 6 months to 6 years of age. In adults, foreign body ingestion is commonly observed in the geriatric population and in patients with ...
The number of lumbar spine surgeries has been increasing during the last 20 years, which also leads to an increase in hospital costs and complications related to surgery. Therefore, there is a greater concern ...
The term gossypiboma refers to a sponge that has been forgotten in the surgical field. It is the most common retained surgical item, and constitutes a continuing problem for surgical safety. We performed a hos...
Pregnant women are at risk of infection during labor and delivery. Infection in obstetrics accounts for the second most common cause of maternal mortality next to post partum hemorrhage. Knowing the prevalence...
Cervical spine fracture-dislocations in neurologically intact patients represent a surgical challenge due to the risk of inflicting iatrogenic spinal cord compression by closed reduction maneuvers. The use of ...
In spite of the improvement of many aspects around Total knee arthroplasty (TKA), there is still a group of 10% to 34% of patients who is not satisfied with the outcome. The therapy of chronic pain after TKA r...
Hydatid disease (HD) is a cosmopolitan parasitosis caused by Echinococcus granulosus that can potentially affect any part of the human body. Liver and lungs are the most frequent localizations. Primary musculoske...
Ipsilateral femoral shaft and neck fractures are rare injuries, affecting mostly young patients who sustained high-energy traumas. In 19–50% of cases, the femoral fracture is misdiagnosed or overlooked at the ...
Sagittal rebalancing of a fixated lumbar hypolordosis (kyphosis) is very important to gain satisfactory results. To correct a misalignment vertebral column resection or pedicle subtraction osteotomies are favo...
A cesarean section is a surgical procedure in which incisions are made through a woman's abdomen and uterus to deliver her baby. Surgical site infections are a common surgical complication among patients deliv...
The incidence of posttraumatic osteomyelitis (PTO) is increasing despite new treatment strategies. Assessment of patients’ outcomes following PTO is challenging due to multiple variables. The study goals are t...
Surgeons have a range of materials to choose from to complete wound closure, yet surprisingly very little is still known about the body’s immune response to the suture materials in current use. The growing lit...
This study’s objective was to identify adverse events following common orthopaedic procedures, and to estimate the incidence rates and risks of these events and their associations with age, sex, and comorbidit...
Fall incidents are a major problem for patients and healthcare. The “Aachen Fall Prevention App” (AFPA) represents the first mobile Health (mHealth) application (app) empowering older patients (persons 50+ yea...
Anterior cervical diskectomy and fusion (ACDF) is a well-established surgical treatment. Several types of intervertebral spacers can be used, but there is increasing evidence that PEEK cages yield insufficient...
Anterior cervical diskectomy and fusion (ACDF) is a well-established surgical treatment for radiculopathy and myelopathy. Previous studies showed that empty PEEK cages have lower radiographic fusion rates, but...
Forced-air warming is used as a mechanism to prevent hypothermia and adverse outcomes associated with hypothermia among patients undergoing surgery. Patient safety in healthcare includes the use of devices and...
Approximately 12% of all ureteral stents placed are retained or “forgotten.” Forgotten stents are associated with significant safety concerns as well as increased costs and legal issues. Retained ureteral sten...
Surgical site marking is one important cornerstone for the principles of safe surgery suggested by the WHO. Generally it is recommended that the attending surgeon performs the surgical site marking. Particular...
The need for reoperation or wound infection treatments between pulsatile and gravity irrigation are statistically equivalent, however, it is unclear which method maximizes operative efficiency and expeditious ...
Conventional screws used for fracture fixation in orthopedic surgery continue to rely on the historic buttress thread design. While buttress screws generally provide solid resistance against unidirectional axi...
Atlantoaxial rotatory fixation is a condition in which the first and second vertebrae of the cervical spine become interlocked in a rotated position. This condition can result in serious consequences and thus ...
Inter-professional teamwork in the operating room is important for patient safety. The World Health Organization (WHO) checklist was introduced to improve intraoperative teamwork. The aim of this study was to ...
The growing economization of the health care system and implication of market principles in the medical field have risen new and serious questions on the meaning of the medical profession, the doctor-patient r...
The risk of postoperative surgical site infection after long bone fracture fixation can be decreased with appropriate antibiotic use. However, there is no agreement on the superiority of a single- or multiple-...
The use of fluoroscopy has become commonplace in many orthopaedic surgery procedures. The benefits of fluoroscopy are not without risk of radiation to patient, surgeon, and operating room staff. There is a pau...
Periprosthetic distal femur fractures associated with total knee replacement are increasing in incidence. We hypothesized that a standardized management protocol would result in few implant failures and a low ...
Cemented total hip arthroplasty (THA) is a safe and common procedure. In rare cases life threatening bone cement implantation syndrome (BCIS) may occur, which is commonly caused by pulmonary embolism (PE).
Endotracheal intubation in severely injured patients is known to be a risk factor for systemic complications. We aimed to examine the changes in intubation rates and durations in severely injured trauma patien...
Editors-in-Chief
Prof Philip F Stahel, Mission Health, USA
Prof Pierre-Alain Clavien, University Hospital Zurich, Switzerland
Managing Editors
Prof Sebastian Weckbach, University Hospital Ulm, Germany
Dr Navid Ziran, St. Joseph's Hospital and Medical Center, Arizona, USA
Senior Editor Emeritus
Dr Steven Schelkun, AO North America, USA
Prof George Youngson, Royal College of Surgeons of Edinburgh, Scotland
Associate Editors
Prof Walter Biffl, Scripps Memorial Hospital, USA
Prof Markus W Buechler, University Hospital Heidelberg, Germany
Dr Jeffrey Galinkin, The Medical Center of Aurora, USA
Prof Christoph E Heyde, University Hospital Leipzig, Germany
Prof James Kellam, Carolinas Medical Center, USA
Dr Fernando Kim, Denver Health Medical Center, USA
Prof Martin A Makary, The Johns Hopkins Hospital, USA
Dr Claudia Medina, IPS Universitaria Clinica Leon XIII, Colombia
Prof Philip S Mehler, Eating Recovery Center, USA
Prof Ernest E Moore, Denver Health Medical Center, USA
Prof Hans-Christoph Pape, University Hospital Zurich, Switzerland
Prof Rodrigo Pesántez, Universidad de los Andes Bogotá, Colombia
Dr Carlos Rodriguez, Walter Reed National Military Medical Center, USA
Prof Andrew H Schmidt, Minnesota University, USA
Dr Andie Slivinski, Mission Health, USA
Dr Jeffrey Smith, Orthopaedic Trauma & Fracture Specialist Medical Corp, USA
Prof Wade R Smith, Swedish Medical Center, USA
Prof Adam Starr, University of Texas Southwestern Medical School, USA
Prof Charles Vincent, University of Oxford, UK
Dr Boris A. Zelle, University of Texas Health, USA
Prof Bruce Ziran, Hughston Clinic at Gwinnett Medical Center, USA
Statistical Advisors
Dr Stefan Sauerland, Institute for Quality and Efficiency in Healthcare (IQWiG), Germany
Dr Allison E Williams, Bay Pines VA Health Care System, USA
Editorial Board
Prof Fernando Baldy dos Reis, UNIFESP-Federal University of São Paulo, Brazil
Prof Jeffrey Barkun, McGill University Health Center, Canada
Dr Nathan C Butler, University of California Davis, USA
Dr. Bayley E. Clarke, Georgetown University, USA
Dr Ted Clarke, Colorado Physician Insurance Companies (COPIC), USA
Prof Nicolas Demartines, University Hospital Lausanne (CHUV), Switzerland
Dr Johannes Fakler, University of Leipzig, Germany
Prof Beat Gloor, University of Bern, Switzerland
Dr Andrew Grose, Westchester Medical Center, USA
Prof Dieter Hahnloser, University Hospital Lausanne (CHUV), Switzerland
Prof Jiandong Hao, The Third Hospital of Hebei Medical University, China
Prof Kirk Hogan, University of Wisconsin, USA
Prof Markus Huber-Lang, University of Ulm, Germany
Dr Kyros Ipaktchi, Denver Health Medical Center, USA
Dr Thilo John, DRK Hospital Berlin-Westend, Germany
Dr Jeffrey L Johnson, Henry Ford Hospital, USA
Prof Jeffry Kashuk, Tel Aviv University-Sackler School of Medicine, Israel
Prof Christian K Lackner, LMU University, Germany
Dr Geeta Lal, University of Iowa, USA
Dr Alan Lembitz, Colorado Physician Insurance Companies (COPIC), USA
Prof Matthias Majetschak, Loyola University, USA
Dr Timothy Moore, MetroHealth Medical Center, USA
Dr John Mukhopadhaya, Mukhopadhaya Orthopaedic Clinic, India
Prof Giuseppe Nigri, Sapienza University of Rome, Italy
Dr Lena Nilsson, Linköping University Hospital, Sweden
Dr Fredric Pieracci, Denver Health Medical Center, USA
Dr Andrew Robson, University of Edinburgh, UK
Dr Jeffrey Varnell, Colorado Physician Insurance Companies (COPIC), USA
Dr Ryan Will, Olympia Orthopaedic Association, USA
Dr Gerald Zarlengo, Colorado Physician Insurance Companies, USA