Radiofrequency ablation prior to total knee arthroplasty does not improve post-surgical pain or recovery: a double-blinded, multi-center, randomized clinical trial.

Background: Radiofrequency ablation (RFA) targeting the genicular nerves is an effective treatment for knee pain due to osteoarthritis. The aim of this study was to determine the effects of two RFA interventions delivered preoperatively on early postoperative pain management and subjective outcomes after total knee arthroplasty (TKA).

Methods: One hundred forty-three participants were enrolled in this double blinded, sham-controlled prospective randomized trial.

Cadaveric Study of Bone Tissue Temperature During Pin Site Drilling Using Fluoroptic Thermography.

Background: Using fluoroptic thermography, temperature was measured during pin site drilling of intact cortical human cadaver bone with a combination of 1-step drilling, graduated drilling, and 1-step drilling with irrigation of 5.0-mm Schanz pins.

Materials And Methods: A 1440 revolutions per minute constant force drilling was used on tibial diaphyses while a sensor probe placed 0.

A systematic review of occipital cervical fusion: techniques and outcomes.

OBJECT Numerous techniques have been historically used for occipitocervical fusion with varied results. The purpose of this study was to examine outcomes of various surgical techniques used in patients with various disease states to elucidate the most efficacious method of stabilization of the occipitocervical junction. METHODS A literature search of peer-reviewed articles was performed using PubMed and CINAHL/Ovid.

Complications in the management of Charcot spinal arthropathy.

Charcot spinal arthropathy is a relatively rare, destructive process characterized by a cycle of progressive deformity, destruction, and worsening instability as a result of repetitive trauma and inflammation. It may result from nontraumatic as well as traumatic causes. Historically, patients with severe symptomatic instability have been successfully treated with combined anterior and posterior fusion techniques.

Recurrent atlantoaxial instability due to fracture of the posterior C1 ring: a late finding following posterior C1-C2 fusion using the Halifax clamp.

Although its use has fallen out of favor, the Halifax interlaminar clamp was used for many years to treat cervical instability through a posterior approach. Numerous complications, the majority of which are related to hardware failure, have been reported with the use of the interlaminar clamps and have led to the development of alternative techniques for posterior fusion, such as transarticular screw fixation. This report presents a case of recurrent atlantoaxial instability due to fracture of the posterior C1 ring that occurred 12 years after a posterior C1-C2 fusion with Halifax clamps.

All-terrain vehicles and associated spinal injuries.

Study Design: Case cohort.

Objective: To illuminate factors associated with all-terrain vehicle (ATV) injuries and injury morphology.

Summary Of Background Data: Traditionally thought of as safe, injuries associated with ATVs can be severe and life threatening.