Is the orthopedic fellowship interview process broken? A survey of program directors and residents.

Most orthopedic surgery residents pursue fellowship training. The fellowship interview process requires considerable time and financial investment from residents and residency programs. We conducted a study of the time, financial, and program disruption impact the fellowship interview process has on residents and residency programs.

Posterior interosseous nerve palsy in a child associated with recurrent dislocation of the head of the radius.

Injuries to the posterior interosseous nerve (PIN) appear to be very uncommon in children. In this paper, the authors describe a 9-year-old boy with a radial malunion and radial head instability that resulted in PIN compression. Surgical decompression via transection of the overlying supinator muscle with correction of the radial deformity and instability resulted in complete return of PIN function.

Fluorescent detection of rat parathyroid glands via 5-aminolevulinic acid.

Objective: Anatomic identification of parathyroid glands during surgery is challenging and time consuming. We sought to determine whether 5-aminolevulinic acid (5-ALA) could produce parathyroid gland fluorescence to improve their detection in a preclinical model.

Methods: Thirty-two rats were administered 0 to 700 mg/kg of 5-ALA by intraperitoneal injection prior to neck exploration under the illumination of a blue light (380-440 nm).

Fistula analysis after radial forearm free flap reconstruction of hypopharyngeal defects.

Objective/hypothesis: To evaluate risk factors and management options for fistula formation after hypopharyngeal reconstruction using the radial forearm free flap reconstruction.

Study Design: Retrospective cohort study.

Methods: Patients undergoing radial forearm free flap for hypopharyngeal reconstruction were retrospectively reviewed.