Established and forthcoming drugs for the treatment of osteoporosis. Lems WF, den Heijer M. Established and forthcoming drugs for the treatment of osteoporosis. Neth J Med. 2013 May;71(4):188-93. Abstract Nowadays, effective drugs are available to prevent fractures in patients at high risk for osteoporotic fractures. The generic bisphosphonates alendronate and risedronate are first choice, because of their effectiveness and...

Nailing the entry point By Michael T. Archdeacon, MD. AAOS Now, May 2009 Issue http://www.aaos.org/news/aaosnow/may09/research6.asp Abstract Intramedullary (IM) nail stabilization has become the gold standard for treating most femoral shaft fractures and a large percentage of tibial shaft fractures. IM nailing can be used in patients with multiple injuries as well as in patients with isolated injuries. With increased usage, the...

Acetabular Fractures – Revisiting the Basics of Management with tips and pearls for fracture fixation Sancheti PK, Patil A, Shyam AK. Acetabular Fractures – Revisiting the Basics of Management with tips and pearls for fracture fixation. J Maha Orth Assoc 2012;7(1): Abstract Acetabulum fractures require methodological approach both in understanding the fracture and also in planning the management. Radiographic classification system...

Proximal Femoral Nail versus Dynamic Hip Screw Fixation for Trochanteric Fractures: A Meta-Analysis of Randomized Controlled Trials.     Huang X, Leung F, Xiang Z, Tan PY, Yang J, Wei DQ, Yu X. Proximal femoral nail versus dynamic hip screw fixation for trochanteric fractures: a meta-analysis of randomized controlled trials. ScientificWorldJournal. 2013;2013:805805. Abstract BACKGROUND: The purpose of this meta-analysis was to find...

Percutaneous cerclage wiring, does it disrupt femoral blood supply? A cadaveric injection study. Apivatthakakul T, Phaliphot J, Leuvitoonvechkit S. Percutaneous cerclage wiring, does it disrupt femoral blood supply? A cadaveric injection study. Injury. 2013 Feb;44(2):168-74.   Abstract BACKGROUND: A percutaneous cerclage wiring technique has been developed to reduce iatrogenic soft tissue and vascular disruption associated with...

 Relationship between Tibial Bone Defect and Extent of Medial Release in Total Knee Arthroplasty  Nam SW, Kwak JH, Kim NK, Wang IW, Lee BK. Relationship between Tibial Bone Defect and Extent of Medial Release in Total Knee Arthroplasty. Knee Surg Relat Res. 2012 Sep;24(3):146-50.   Abstract Purpose To understand the relationship between tibial bone defect and extent of medial release in total knee arthroplasty. Materials and...

Surgical technique: Tscherne-Johnson extensile approach for tibial plateau fractures.  Johnson EE, Timon S, Osuji C. Surgical technique: Tscherne-Johnson extensile approach for tibial plateau fractures. Clin Orthop Relat Res. 2013 Sep;471(9):2760-7.   Abstract BACKGROUND: The standard approach to lateral tibial plateau fractures involves elevation of the iliotibial band (IT) and anterior tibialis origin in continuity from...

Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Cochrane Collaboration Review Includes 43 trials with more than 2500 patients and concludes that Sliding Hip Screw is Better than Intramedillary devices for exteacapsular Hip fractures. Few other reviews have also reported non-inferiority of SHS over ILN. Probably the most important issue here is surgeons training...

Is a Sliding Hip Screw or IM Nail the Preferred Implant for Intertrochanteric Fracture Fixation? Aros B, Tosteson AN, Gottlieb DJ, Koval KJ. Is a sliding hip screw or im nail the preferred implant for intertrochanteric fracture fixation? Clin Orthop Relat Res. 2008 Nov;466(11):2827-32. doi: 10.1007/s11999-008-0285-5. Abstract This study was performed to determine whether patients who sustain an intertrochanteric fracture have...

Evaluation of Associated Carpal Bone Fractures in Distal Radial Fractures  Heo YM, Kim SB, Yi JW, Lee JB, Park CY, Yoon JY, Kim DH. Evaluation of associated carpal bone fractures in distal radial fractures. Clin Orthop Surg. 2013 Jun;5(2):98-104. doi: 10.4055/cios.2013.5.2.98. Abstract Background The purpose of this study was to investigate the frequency and distribution of associated carpal bone fractures (CBFs) in distal radial...