Age at Time of Craniosynostosis Repair Predicts Increased Complication Rate.

Objective: This study uses administrative data to assess the optimal timing for surgical repair of craniosynostosis and to identify factors associated with risk of perioperative complications.

Design: Statistical analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database (2006, 2009, 2012).

Setting: KID-participating hospitals in 44 states.

Is resurfacing arthroplasty appropriate for posttraumatic osteoarthritis?

Background: High survival has been reported for resurfacing arthroplasty in patients with femoral deformities. Also, hardware removal may not always be necessary with resurfacing arthroplasty and may eliminate some of the difficulties performing total hip arthroplasty (THA) in patients with posttraumatic osteoarthritis.

Questions/purposes: We therefore asked: (1) are survivorship higher in patients who underwent resurfacing arthroplasty compared with patients with nontraumatic osteoarthritis; and (2) are those higher compared with all patients who have resurfacing?

Methods: We identified 29 patients (29 hips) who had hip resurfacing for posttraumatic arthritis.

Scientific evidence for the use of modern unicompartmental knee arthroplasty.

Unicompartmental knee arthroplasty as a surgical treatment for monocompartmental knee arthritis remains a controversial procedure with questions surrounding the benefits and survivorship of the procedure versus osteotomies or total knee arthroplasties. The authors, by examining the complete body of literature for scientific evidence concerning the procedure, will describe the history of usage of these prostheses, their rationale for usage, modern devices and their results, and why they may have advantages as a treatment modality for monocompartmental knee arthritis. Outcomes of current unicompartmental designs will be presented and evaluated to determine which aspects of the design and patient selection technique are associated with success or failure.