Gainesforsyth4238

Anterior vertebral body tethering to effect scoliosis correction in a growing spine has been shown to work with varying degrees of success. This report describes the mid-term results of this technique using a new device composed of a braided ultra-high molecular weight polyethylene (UHMWPE) cord anchored to bone screws applied without segmental compression. Methods This was a single-center prospective observational study of an investigational device. Five female patients aged 9 to 12 years with thoracic scoliosis underwent thoracoscopic insertion of the UHMWPE tether. Radiographs and magnetic resonance imaging (MRI) were performed, and the Scoliosis Research Society (SRS)-22 was administered, preoperatively and at regular intervals after surgery, with a minimum of 4 years of follow-up. Results All tethering devices spanning the end vertebrae (range, 7 to 8 vertebrae) were implanted successfully. Mean blood loss was 136 mL, and the mean operative time was 205 minutes. The mean preoperative main thoracic Cobb al IV. See Instructions for Authors for a complete description of levels of evidence. Some unfavorable local events following shoulder arthroplasty occur without the patient experiencing symptoms and yet may be detected on diagnostic imaging, thereby serving as indicators of complications that may require revision. Our aim was to create a standardized protocol for an image-based monitoring process for assessing patients who are asymptomatic following shoulder arthroplasty. Methods A Delphi exercise was implemented with the participation of an international panel of experienced shoulder surgeons. On the basis of expert opinion from a core steering group, an initial list of imaging parameters for shoulder arthroplasty monitoring of asymptomatic patients was developed and reviewed by panel members. The most appropriate imaging modality was identified. selleck Between each survey, all feedback was considered in order to revise the proposed core set with its definitions and specifications. Consensus was reached upon a two-thirds agreement. Results Three online surveys were administered, with 98 surgeons reepresents a major step toward the standardization of shoulder arthroplasty radiographic monitoring for routine quality controls and research investigations. Numerous recent studies have demonstrated the validity and efficiency of the National Institutes of Health Patient-Reported Outcomes Measurement Information System (PROMIS) forms in patients undergoing orthopaedic surgical procedures. It is assumed that a score of 50 in each domain represents the health state of a "reference" population, but this threshold has not been definitively proven. In order to truly assess whether a given orthopaedic intervention is successful, the comparative scores of healthy individuals must be known for any given health domain measured. Therefore, the purpose of this study was to determine baseline scores for the PROMIS general physical function (PROMIS-PF), pain interference (PROMIS-PI), and upper-extremity physical function (PROMIS-UE) domains in physically healthy, asymptomatic adult individuals. We hypothesized that, in individuals 50 and PROMIS-PI scores would be less then 50. We further hypothesized that these scores would be impacted by participant age. Methods Three PROMI baseline scores. Clinical Relevance In this study, reference range for asymptomatic musculoskeletal volunteers was determined across PROMIS CAT forms. These reference scores are important in treating and counseling patients with musculoskeletal conditions in order to determine relative impairment or functional capabilities. It has been postulated that injury to the medial collateral ligament (MCL) of the elbow is rare in cases of elbow fracture-dislocation, and if the MCL is torn, it does not require surgical repair. Elbow fracture-dislocations with MCL insufficiency are associated with recurrent instability, secondary surgery, and the development of posttraumatic arthritis. With the current study, our aim was to investigate whether evidence of an MCL attachment-site fracture on a radiograph or computed tomography (CT) scan is predictive of MCL insufficiency, the need for MCL repair, and postoperative instability. Methods This retrospective study included 219 patients (median age of 50 years; 53% female) with elbow fracture-dislocations treated at 2 Level-I trauma centers during the period of 2005 to 2016. Patients were followed for a median of 6.3 years to determine postoperative stability. Operative notes and radiology reports were reviewed to confirm MCL insufficiency and periarticular fractures. Radiographs and CT scans weree fracture has occurred at an MCL attachment site may improve elbow stability and decrease the likelihood of requiring reoperation. Level of Evidence Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. The Press Ganey Outpatient Medical Practice Survey is a commonly utilized questionnaire that attempts to measure satisfaction with outpatient health care. A wide variety of factors have been associated with lower satisfaction scores among orthopaedic patients, including age, sex, presence of psychological disorders, and driving distance to the point of care. The impact of clinic workflows is less clear. In this study, we hypothesized that an increased clinic wait time was an independent predictor of lower patient satisfaction as measured by the Press Ganey survey. Methods We retrospectively reviewed 4,216 new outpatient orthopaedic surgery visits between January 1, 2014, and December 31, 2016, at a single academic institution. For patients with multiple visits, only the first new patient visit was analyzed. Satisfaction was defined as achieving a score above the 33rd percentile of the cohort. Univariate analysis followed by multivariable binary logistic regression was used to detect factors associated with pa of scoring at or below the 33rd percentile on the Press Ganey survey. Further increases in wait time significantly increased the odds of dissatisfaction. Measures to reduce clinic wait time may improve the patient experience and satisfaction with the orthopaedic encounter.