May 2006   Volume XXXV No. 5
  2005 Annual Indexes
 
 
GUEST EDITORIAL

Less Invasive Total Hip Arthroplasty

Thomas P. Sculco, MD

Dr. Sculco shares his perspective on the prerequisites, precautions, and contraindications to keep in mind when considering the less invasive approaches to hip arthroplasty.

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PINNACLE SERIES

Minimally Invasive Total Hip Replacement: The Posterolateral Approach

Friedrich Bottner, MD, Samuel Delgado, and Thomas P. Sculco, MD

Since the this approach was described 8 years ago by Dr. Sculco, he and his colleagues have modified the technique and developed instruments to facilitate it. The authors describe the technique and the results obtained, as well as a fast-track rehabilitation protocol that is available at the Hospital for Special Surgery.

 


 


> Review Papers

Effective Thromboprophylaxis Administered Close to the Time of Major Orthopedic Surgery: A Review

David Bergqvist, MD, PhD, and Russell D. Hull, MBBS, MSc

Bergqvist and Hull note that more patients are being admitted to hospital on the day of surgery, making alternative dosing regimens for thromboprophylaxis increasingly attractive, especially for elderly and other high-risk patients.


> original studies

Postoperative Pain Management for Arthroscopic Shoulder Surgery: Interscalene Block Versus Patient-Controlled Infusion of 0.25% Bupivicaine

David Chao, MD, Shaun Young, ATC, and Patrick Cawley, DSc, OPA, RT

Also assessed: how well does a patient-controlled infusion of bupivacaine work, as an adjunct to interscalene block, for extending the period of postoperative pain relief after shoulder arthroscopy?


Analysis of Cement Mantles in Collared Versus Collarless Femoral Components

Craig R. Mahoney, MD, Andrew G. Yun, MD, and Paul M. Pellicci, MD

Each type of component has its advocates. Noting that one possible difference between collared and collarless stems is their ability to pressurize cement during stem insertion, the authors sought to compare radiographically the cement mantles of these two types of stems.




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  > case reports
 
Multiple Ganglion Cyst Formation on a Flexor Tendon After Surgical Release of a Trigger Finger

Michael Pannunzio, MD, Erik Dorf, MD, and Bobby Chhabra, MD

With a typical presentation for stenosing tenosynovitis of the long finger, the patient was treated first with injection and later with surgical release. Did the cysts form from the pressure exerted within the sheath from the injection and mature to a symptomatic size only later, after the patient had undergone A1 pulley release?


  > aspects of sports medicine
 
Open Rupture of the Lateral Ligaments of the Ankle Without Dislocation: A Case Report

Terry L. Thompson, MD, and Kermit Muhammad, MD

Severe injury occurred when a basketball player came down with a rebound and landed on another player’s foot. Prompt surgical treatment produced a satisfactory outcome.


  > TIPS OF THE TRADE
 
A Method for Removing the Polyethylene Liner During Revision Total Hip Arthroplasty

B. Sonny Bal, MD, and Thomas Aleto, MD

This simple method for dissociating the liner from the metal acetabular shell requires no special instruments.



  SUPPLEMENT
 


Management of Persistent Shoulder Pain: ATreatment Algorithm

  



This supplement is jointly sponsored by Penn State College of Medicine and IMED Communications.