Publications by authors named "Michael J Messina"

Background: The latest generation of shoulder arthroplasty includes canal-sparing respectively stemless designs that have been developed to allow restoration of the glenohumeral center of rotation independently from the shaft, and to avoid stem-related complications. The stemless prosthesis design has also recently been introduced for use in reverse arthroplasty systems.

Methods: We systematically reviewed the literature for studies of currently available canal-sparing respectively stemless shoulder arthroplasty systems.

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Article Synopsis
  • Venous thromboembolism (VTE) prophylaxis is essential after total joint arthroplasty, but there's ongoing debate about the best approach.
  • Recent guidelines from key organizations like the American Academy of Orthopaedic Surgeons and the American College of Chest Physicians were issued in 2011 and 2012, with an update from the Surgical Care Improvement Project in 2014.
  • This review aims to explore the various VTE prophylaxis options currently used and the most up-to-date clinical guidelines.
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Background: Tubular gauze dressings are commonly used, but have potential to cause iatrogenic finger ischemia.

Objectives: To inform health care providers of an avoidable complication and to discuss appropriate methods of prevention and treatment.

Case Report: We discuss a teenage female's finger that narrowly avoided amputation after a tubular gauze dressing caused iatrogenic ischemia.

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Hand hygiene is a central factor in preventing the spread of disease in the dermatologist's office. The role of hand washing and alcohol-based hand rubs is considered with emphasis on compliance, effectiveness, side effects, and cost. Specific recommendations highlight the importance of using alcohol-based hand rubs as an adjunct to traditional hand-washing methods.

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