Does Knee Arthroscopy for Treatment of Meniscal Damage with Osteoarthritis Delay Knee Replacement Compared to Physical Therapy Alone?

Backgroud: To determine patient factors that lead to treatment of meniscal tears with osteoarthritis (OA) with knee arthroscopy (KA) or physical therapy only (PT-only); and to assess differences in clinical outcomes including the time to knee arthroplasty.

Methods: Patients aged ≥ 45 years with OA at meniscal tear diagnosis were followed up from the date of surgery (KA) or first PT visit (PT-only) until partial/total knee replacement surgery, death, disenrollment, or end of study. Demographic and clinical characteristics were compared and used to derive propensity scores.

The association between race/ethnicity and outcomes following primary shoulder arthroplasty.

Background: Although prior studies have reported health disparities in total knee and hip arthroplasty, few have evaluated the effect of race/ethnicity on total shoulder arthroplasty, particularly in a setting in which patients have uniform access to care. Because the procedural volume of shoulder arthroplasty has increased dramatically over the past decade, evaluating the association between race/ethnicity and postoperative outcomes is warranted. We sought to evaluate racial/ethnic disparities in adverse postoperative events within a universally insured shoulder arthroplasty cohort in an integrated health care system.

Frequency and complications after operative fixation of clavicular fractures.

Background: The purpose of this study was to analyze whether a recent trend in evidence supporting operative treatment of clavicular fractures is matched with an increase in operative fixation and complication rates in the United States.

Methods: The American Board of Orthopaedic Surgery database was reviewed for cases with Current Procedural Terminology (American Medical Association, Chicago, IL, USA) code 23515 (clavicle open reduction internal fixation [ORIF]) from 1999 to 2010. The procedure rate for each year and the number of procedures for each candidate performing clavicle ORIF were calculated to determine if a change had occurred in the frequency of ORIF for clavicular fractures.

Biomechanical evaluation of augmentation of suture-bridge supraspinatus repair with additional anterior fixation.

Background: Studies have recently focused on evaluating the ability of the supraspinatus repair to withstand rotational loads. Other studies have focused on the importance of minimizing gap formation to avoid decreased healing and failure of repair. The objective of this study was to use a loading model that incorporates external rotation to biomechanically evaluate augmenting a suture-bridge technique for supraspinatus repair with an additional anterior fixation.

The photodissociation of NO(2) by visible and ultraviolet light.

We present velocity map images of the NO, O((3)P(J)) and O((1)S(0)) photofragments from NO(2) excited in the range 7.6 to 9.0 eV.

Time-dependent photoionization of azulene: competition between ionization and relaxation in highly excited states.

Pump-probe photoionization has been used to map the relaxation processes taking place from highly vibrationally excited levels of the S(2) state of azulene, populated directly or via internal conversion from the S(4) state. Photoelectron spectra obtained by 1+2(') two-color time-resolved photoelectron imaging are invariant (apart from in intensity) to the pump-probe time delay and to the pump wavelength. This reveals a photoionization process which is driven by an unstable electronic state (e.

Photodissociation of vibrationally excited SH and SD radicals at 288 and 291 nm: the S(1D2) channel.

Ultraviolet photodissociation of SH (X 2Pi, upsilon"=2-7) and SD (X 2Pi, upsilon"=3-7) has been studied at 288 and 291 nm, using the velocity map imaging technique to probe the angular and speed distributions of the S(1D2) products. Photodissociation cross sections for the A 2Sigma+<--X 2Pi(upsilon") and 2Delta<--X 2Pi(upsilon") transitions have been obtained by ab initio calculations at the CASSCF-MRSDCI/aug-cc-pV5Z level of theory. Both the experimental and theoretical results show that SH/SD photodissociation from X 2Pi (upsilon" View Article and Find Full Text PDF

Imaging the dynamics of gas phase reactions.

Ion imaging methods are making ever greater impact on studies of gas phase molecular reaction dynamics. This article traces the evolution of the technique, highlights some of the more important breakthroughs with regards to improving image resolution and in image processing and analysis methods, and then proceeds to illustrate some of the many applications to which the technique is now being applied--most notably in studies of molecular photodissociation and of bimolecular reaction dynamics.

Allograft transplantation in the knee: tissue regulation, procurement, processing, and sterilization.

Use of musculoskeletal allografts has become increasingly popular, with widespread use among knee surgeons. The advantages and disadvantages of their use have been documented. In the knee, allografts are used for ligament reconstruction, meniscal transplantation, and articular surface reconstruction.