Quantifying the Positional Deviation Between the True Flexion-Extension and Epicondylar Axes of the Elbow: A 3D Computational Study.

Background and objective The epicondyles are commonly used surgical reference landmarks for elbow arthroplasty and external fixator application. This study aimed to investigate whether the epicondylar axis differed from the elbow's true flexion-extension (F-E) axis in terms of both rotational difference and translational offset. Methods Three-dimensional (3D) models of 15 cadaver elbows were created.

Appropriateness of lumbar spine radiography and factors influencing imaging ordering patterns: paving the path toward value-driven health care.

The demand for diagnostic imaging continues to rise. Against the backdrop of rising health care costs and finite resources, this has prompted a paradigm shift toward value-driven patient care. Inappropriate imaging is a barrier toward achieving this goal, which runs counter to prevailing evidence-based guidelines and contributes to rising healthcare costs.

Preoperative Oswestry Disability Index Cannot Reliably Predict Patient Satisfaction After Single and Double Level Lumbar Transforaminal Interbody Fusion Surgery.

Introduction: The role of patient-reported outcomes in preoperative assessment is not well studied. There is recent interest in studying whether Patient-reported outcomes scores can be used either independently, or in conjunction with clinical findings, in the assessment of patients for surgery.

Aims: To investigate if improvement in clinically significant scores correlate with post-operative patient satisfaction in 1-2 level transforaminal lumbar interbody fusion (TLIF) surgery.

Clinical and radiological outcomes of concomitant endoscopic gastrocnemius release with scarf osteotomy.

Background: Studies showed patients with hallux valgus also have tight gastrocnemius concomitantly. This study aims to investigate (1) prevalence of tight gastrocnemius in symptomatic hallux valgus (2) clinical and radiological outcomes of concomitant endoscopic gastrocnemius release with scarf osteotomy.

Methods: Between January 2011 to December 2013, 224 patients underwent hallux valgus surgery were evaluated.