Advances in total knee arthroplasty.

Total knee arthroplasty (TKA) is one of the success stories of modern surgery. Primary TKA is commonly used when nonsurgical treatments for osteoarthritis fail. The need for TKA is projected to increase by 673% between 2005 and 2030, creating a tremendous burden on the healthcare system.

Pathogenesis and management of diabetic foot ulcers.

Diabetic foot ulcers are a devastating component of diabetes progression and are caused by loss of glycemic control, peripheral neuropathy, peripheral vascular disease, and immunosuppression. An estimated 15% of patients with diabetes have diabetic foot ulcers. This article describes the pathogenesis, diagnosis, clinical management, and advances in wound treatment for diabetic foot ulcers.

Percutaneous clamping of spiral and oblique fractures of the tibial shaft: a safe and effective reduction aid during intramedullary nailing.

The reduction of tibial shaft fractures during intramedullary nailing is important if limb alignment is to be restored and successful clinical outcomes are expected. We have used a percutaneously applied (or open) clamp or clamps to achieve and maintain reduction during nailing of all amendable tibial shaft fractures. In this article, we describe the technique and preliminary results comparing closed, simple spiral and oblique tibial shaft fractures (OTA 42-A1 and A2) managed with percutaneous clamp-assisted nailing (CAN) versus nailing using manual reduction (MRN) held by the surgical team.

Removal of a nail from bone after nail gun injury: a case report and utility of a classic technique.

Nail gun injuries are common, work-related injuries that typically involve bony impalement of an extremity with the nail. Treatment recommendations are well established, although suggestions for removing the nail itself have been lacking. In our hands, removal using typical operating room equipment has been challenging, usually resulting in nail head deformity and breakage, which makes completing the procedure even more difficult.