Showing papers in "Orthopedic Clinics of North America in 2000"

TL;DR: In the majority of cases, a systematic approach to the patient with skeletal metastasis leads to the correct diagnosis, and the orthopedic surgeon should follow a logical sequence of steps in evaluating the patient.

TL;DR: Realization of the full potential of engineered matrix materials and cell-matrix composites can provide new solutions to many clinical problems in skeletal reconstruction.

TL;DR: Growth factors including bone morphogenetic proteins, transforming growth factor beta, platelet-derived growth factor, insulin-like growth factors I and II, and acidic and basic fibroblast growth factors are powerful tools for fracture healing and bone grafting.

TL;DR: It is believed that current and future research will ultimately result in biologically active and interactive nerve guidance channels that can support and enhance peripheral nerve regeneration over longer, more clinically relevant defect lengths.

TL;DR: The properties of the various bone grafting materials currently available are highlighted and their efficacy in clinical practice is discussed.

TL;DR: The biomechanical rationale of nonoperative treatment of full-thickness rotator cuff tears is explained, the literature pertaining to nonoperatively treatment is reviewed, and a nonoperative treatment program is described.

TL;DR: The mechanism of injury, diagnostic tools, and subtle signs of injury for swimmer's shoulder are described, and conservative treatment for the injury is focused on stretching and strengthening and eliminating acute inflammation.

TL;DR: The triceps reflecting anconeus pedicle (TRAP) as mentioned in this paper is a triceps-reflecting pedicle approach to the distal humerus, which provides an extensile and versatile approach for treatment of fractures and nonunions.

TL;DR: A rational approach to the classification and surgical management of intraarticular fractures of the distal humerus, which is divided into two skeletal columns held together by the trochlea.

TL;DR: The anatomies and biomechanics of the glenohumeral joint and the scapulothoracic articulation and current biomechanical concepts concerning motion, stability, and force are presented.

TL;DR: A nonoperative program directed at reducing pain and increasing stability through comprehensive shoulder strengthening methods has generally been successful in treating recurrent posterior shoulder subluxation.

TL;DR: Open reduction and internal fixation is indicated in two-part surgical neck fractures with poor bone quality or extensive comminution, twopart greater tuberosity or lesser tuberosity fractures, and most three-part fractures as discussed by the authors.

TL;DR: This article reviews the development of tissue engineering during the last decade, when the science began to fully develop in association with efforts to combine viable cells with biocompatible material.

TL;DR: Tissue engineering, a relatively new field of research, was born as a result of a search for solutions to the limited alternatives currently used to replace structure and function lost because of failure or loss of tissues throughout the body.

TL;DR: Shoulder dislocations in patients over 40 years of age are common and are frequently associated with serious injuries to adjacent structures.

TL;DR: Describing of the commoner acromioclavicular joint injuries, details of the nonoperative treatment, and indications for surgical treatment are reviewed.

TL;DR: The surgical release of posttraumatic elbow contractures is rewarding, with a high incidence of success and a reasonable risk of complications.

TL;DR: Challenges, evaluation and preoperative workup guidelines, and treatment strategies of chronic anterior and posterior dislocations of the glenohumeral joint and associated articular surface defects are addressed.

TL;DR: The diagnosis, treatment, controversies, postoperative results, and complications of these rare elbow fractures are outlined.

TL;DR: Most patients with multidirectional instability can be treated successfully by conservative methods, such as patient education, a shoulder girdle strengthening program, or modification of the patient's routine activity.

TL;DR: Injuries to the sternoclavicular joint are rare because of its strong ligamentous support, but because of the strong forces involved and the proximity of the joint to the great vessels and other mediastinal structures, however, injuries can be very serious and potentially life threatening.

TL;DR: The structure and function of the intervertebral disk, the pathogenesis of its degeneration, and the clinical relevance of degenerative disk disease are summarized.

TL;DR: The potential to treat cartilage damage for bone morphogenetic proteins, insulin-like growth factors, hepatocyte growth factor, basic fibroblast growth factor and transforming growth factor beta is reviewed.

TL;DR: In this article, the role of elbow replacement related to fractures of the distal humerus, including indications, technique, and results, is addressed, and total elbow replacement using the semiconstrained Coonrad-Morrey prosthesis has proven to be a suitable and reliable option for older patients.

TL;DR: A variety of techniques for meniscal repair have been attempted and experts are still unsure which treatment of meniscal lesions is best as discussed by the authors, however, some novel approaches may be used for treatment in the coming years.

TL;DR: A surgical neck nonunion is a seriously debilitating complication of a proximal humerus fracture that leaves patients with virtually no functional use of their shoulders and experience pain.

TL;DR: The etiology, classification, diagnosis, and management ofMalunion of a proximal humerus fracture often is painful and debilitating and operative management frequently results in a relatively high rate of complications.

TL;DR: A conservative approach to treating shoulder dislocations includes protection from early re-injury, rehabilitation, and gradual return to athletics and use.

TL;DR: A thorough history and physical examination along with selective radiographs can lead to an accurate diagnosis and appropriate treatment plan. Most of these fractures may be treated conservatively with good functional results as discussed by the authors.

TL;DR: In this article, the authors divided ACL reconstruction into three categories: autograft, allografts, and synthetic graft replacements, based on the success rates and associated advantages and disadvantages of each method.