Associations of physician burnout with organizational electronic health record support and after-hours charting.

In 2017, 43.9% of US physicians reported symptoms of burnout. Poor electronic health record (EHR) usability and time-consuming data entry contribute to burnout.

Late onset femoral stress fracture associated with extruded cement following hip arthroplasty. A case report.

The presented case demonstrates a femoral stress fracture in association with a cortical defect occupied by extruded polymethylmethacrylate, occurring approximately two years after a cemented total hip arthroplasty (THA). Although more emphasis is currently being placed on cementless arthroplasty, there is a large population of patients with cemented arthroplasties, and a number of surgeons continue to use pressurized cementing techniques. The diagnosis of stress fracture should be considered in addition to diagnoses of infection and loosening in patients with painful THAs and extruded femoral cement.

The effects of inaccurate bone cuts on femoral component position in total knee arthroplasty.

Patterns of malposition of total knee femoral components are presented and are correlated to specific faulty bone cuts. Femoral component malposition pattern recognition will facilitate intraoperative correction of inaccurate bone cuts.

Traction bow for acute reduction of fracture and/or dislocation of the thoracic or thoracolumbar spine.

Treatment of acute fractures and/or fracture dislocations of the thoracic or thoracolumbar spine has traditionally involved bedrest or the use of traction devices with external hanging weights, until surgical correction can be accomplished. A fiberglass tubular traction bow with continuous adjustable elastic tension has been designed for the application of skeletal traction. When used to treat thoracic or thoracolumbar fractures and/or dislocations, it can maintain distraction forces in an uninterrupted fashion.

Enhanced stabilization of porous-coated metal implants with tricalcium phosphate granules.

Tricalcium phosphate (TCP) granules were tested as a possible alternative to bone graft as an interposition material to stabilize porous-coated metal implants in overreamed femoral intramedullary canals in dogs in vitro and in vivo. TCP granules provided as much stability as bone graft or a press fit in the in vitro testing. At six weeks in the in vivo system, the TCP stabilized specimens had an increased average resistance to tensile testing, but the increase was not significant.

Enhancement of bone ingrowth by the use of bone matrix as a biologic cement.

In an effort to enhance bone growth into implants with porous coatings, a decalcified bone cement was used to secure fixation of the implants in canine femora. Rods with porous coatings were inserted bilaterally into the femoral medullary canals of nine dogs of varying sizes. A demineralized bone paste was used to enhance the fixation in one side, with the contralateral limb serving as a control.