Effect of Instrumented Spine Surgery on Length of Stay.

Introduction: Total joint arthroplasty studies have identified that surgeries that take place later in the week have a longer length of stay compared with those earlier in the week. This has not been demonstrated in studies focused on anterior cervical diskectomy and fusions or minimally invasive lumbar laminectomies. All-inclusive instrumented spine surgeries, however, have not been analyzed.

Complete Talar Extrusion Treated With an Antibiotic Cement Spacer and Staged Femoral Head Allograft.

Complete talar extrusion is rare and usually associated with a high-energy mechanism of injury causing complete dissociation of the talus from the surrounding bony and soft-tissue structures with enough force to expel the talus out of the body. Treatment can be complicated by infection, osteonecrosis, posttraumatic osteoarthritis, and leg length discrepancy, which may require multiple subsequent surgeries for improved outcome and quality of life. Reimplantation of the native talus affords maintenance of joint height and favorable outcomes have been reported.

Impact of mandibular advancement devices on C-reactive protein levels in patients with obstructive sleep apnea.

Objectives/hypothesis: To determine the effect of treatment of obstructive sleep apnea (OSA) with custom-made mandibular advancement devices (MADs) on C-reactive protein (CRP) levels in patients with obstructive sleep apnea/hypopnea syndrome (OSAHS).

Study Design: Case series with chart review.

Methods: Charts of consecutive patients fitted with custom-made mandibular advancement devices for treatment of OSAHS between December 2011 and November 2012 were reviewed.

Diagnostic value of the Friedman tongue position and Mallampati classification for obstructive sleep apnea: a meta-analysis.

Objective: To assess the association between the Mallampati classification and Friedman tongue position for obstructive sleep apnea severity as determined by apnea-hypopnea index and to determine which method is most closely correlated with prediction of obstructive sleep apnea severity.

Data Sources: English-language searches of PubMed, MedLine, and the Cochrane database. Reference sections of identified studies were examined for additional articles.