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Day W, Gouzoulis MJ, Jayaram RH, Grauer JN. Emergency department utilization after elbow arthroscopy. JSES Int 2024; 8:910-914. [PMID: 39035647 PMCID: PMC11258818 DOI: 10.1016/j.jseint.2024.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/23/2024] Open
Abstract
Background Elbow arthroscopy has defined indications for which technical pearls and outcomes have been described. However, other aspects of the postoperative course, such as postprocedural emergency department (ED) visits, have received less attention. The current study defined the incidence and factors associated with ED visits in the 90 days following elbow arthroscopy by leveraging a large, national, multiinsurance, administrative database. Methods Adult patients who underwent elective elbow arthroscopy were identified in the 2010 to Q1 2022 PearlDiver Mariner161 national administrative database. Those who visited the ED in the 90 days following surgery were identified and compared to those who did not based on age, sex, Elixhauser Comorbidity Index, geographic region of the United States, and insurance type by multivariate analyses. The timing (weeks following surgery), reasons for ED visit (elbow-related or not), and ED-to-hospital admission (presence or absence) were also assessed. Finally, the rate of those who were admitted during an ED visit was described. Results A total of 16,310 elbow arthroscopy patients were identified, of which ED visits in the 90 days following surgery were noted for 1086 (6.7%). ED visits were independently associated with younger age (odds ratio [OR, 95% confidence interval (CI)]: 1.23 [1.17, 1.29] per decade decrease), higher Elixhauser Comorbidity Index (OR [95% CI]: 1.21 [1.19, 1.23] per 1-point increase), different geographic region (OR [95% CI]: 1.42 [1.19, 1.71] for Midwest relative to West), and insurance (OR [95% CI]: 1.88 [1.48, 2.39] for Medicaid relative to Commercial) (P < .001 for each). The incidence of all-cause ED visits was highest during the first two postoperative weeks and gradually decreased over the following weeks. The reason for ED visits related to the elbow decreased from 65% in month one, to 37.7% in month two, to 26.6% in month three. Of those visiting the ED, 12.4% went on to be admitted (for any reason). Conclusion A significant proportion of patients from a large cohort of elbow arthroscopy patients visited the ED at least once in the 90 days following surgery. The defined associated factors and timing of these ED visits can help optimize postoperative care pathways.
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Affiliation(s)
- Wesley Day
- Albert Einstein College of Medicine, Bronx, NY, USA
| | - Michael J. Gouzoulis
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA
| | - Rahul H. Jayaram
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA
| | - Jonathan N. Grauer
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA
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Guerra E, Marinelli A, Tortorella F, Flöter MDS, Ritali A, Sessa A, Carbone G, Cavallo M. Elbow Arthroscopy for the Treatment of Radial Head Fractures: Surgical Technique and 10 Years of Follow Up Results Compared to Open Surgery. J Clin Med 2023; 12:jcm12041558. [PMID: 36836092 PMCID: PMC9960197 DOI: 10.3390/jcm12041558] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 02/13/2023] [Accepted: 02/13/2023] [Indexed: 02/18/2023] Open
Abstract
BACKGROUND This study aimed to describe the ARIF (Arthroscopic Reduction Internal Fixation) technique for radial head fractures and to compare the results with ORIF (Open Reduction Internal Fixation) at mean 10 years. METHODS A total of 32 patients affected by Mason II or III fractures of the radial head who underwent ARIF or ORIF by screws fixation were retrospectively selected and evaluated. A total of 13 patients were treated (40.6%) by ARIF and 19 patients (59.4%) by ORIF. Mean follow-up was 10 years (7-15 years). All patients underwent MEPI and BMRS scores at follow-up, and statistical analysis was performed. RESULTS No statistical significance was reported in Surgical Time (p = 0.805) or BMRS (p = 0.181) values. Significative improvement was recorded in MEPI score (p = 0.036), and between ARIF (98.07, SD ± 4.34) and ORIF (91.57, SD ± 11.67). The ARIF group showed lower incidence of postoperative complications, especially regarding stiffness (15.4% with ORIF at 21.1%). CONCLUSIONS The radial head ARIF surgical technique represents a reproducible and safe procedure. A long learning curve is required, but with proper experience, it represents a tool that might be beneficial for patients, as it allows a radial head fracture to be treated with minimal tissue damage, evaluation and treatment of the concomitant lesions, and with no limitation of the positioning of screws.
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Affiliation(s)
- Enrico Guerra
- Shoulder and Elbow Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
| | - Alessandro Marinelli
- Shoulder and Elbow Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
| | - Fabio Tortorella
- Shoulder and Elbow Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
| | | | - Alice Ritali
- Shoulder and Elbow Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
| | - Andrea Sessa
- Shoulder and Elbow Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
| | - Giuseppe Carbone
- Shoulder and Elbow Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
| | - Marco Cavallo
- Shoulder and Elbow Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
- Correspondence: ; Tel.: +39-051-636-6927
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HY C, D E, B T. Elbow arthroscopy - Indications and technique. J Clin Orthop Trauma 2021; 19:147-153. [PMID: 34099974 PMCID: PMC8167286 DOI: 10.1016/j.jcot.2021.05.022] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 05/16/2021] [Indexed: 10/21/2022] Open
Abstract
Throughout the years, elbow arthroscopy has advanced tremendously due to improvements in technology and surgical techniques. It is now considered a safe and effective treatment for a variety of elbow disorders. Due to the small working space and nearby neurovascular structures, it is a technically challenging procedure. It can be used to successfully treat complaints caused by loose bodies, osteoarthritis, arthrofibrosis, OCD, lateral epicondylitis, VEOS and fractures. The most devastating complication of elbow arthroscopy is (permanent) nerve injury. Therefore, distortion of the anatomy of the elbow joint and transposition of the ulnar nerve can be a contra-indication for elbow arthroscopy due to the higher risk of postoperative complications. The results of the arthroscopy depend on the experience, knowledge, technique and expertise of the performing surgeon.
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Affiliation(s)
- Chow HY
- Department of Orthopaedics, Amphia Hospital, Molengracht 21, 4818, CK Breda, the Netherlands,Corresponding author.
| | - Eygendaal D
- Department of Orthopaedics, Amsterdam University Medical Centres, Meibergdreef 9, 1105, AZ Amsterdam, the Netherlands
| | - The B
- Department of Orthopaedics, Amphia Hospital, Molengracht 21, 4818, CK Breda, the Netherlands
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Thaveepunsan S, Shields MN, O'Driscoll SW. The Needle-and-Knife Technique: A Safe Technique for Anterolateral Portal Placement in Elbow Arthroscopy. Orthop J Sports Med 2019; 7:2325967118817232. [PMID: 30729140 PMCID: PMC6350134 DOI: 10.1177/2325967118817232] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
Background: Safe and effective portal placement is crucial for successful elbow
arthroscopy. Various techniques for anterolateral portal placement in elbow
arthroscopy have been described, yet radial nerve injuries are commonly
reported. Purpose: To report on the technique and safety of anterolateral portal placement by
the needle-and-knife method and its clinical applications. Study Design: Case series; Level of evidence, 4. Methods: A retrospective review was completed of patients who underwent an
arthroscopic procedure in the anterior compartment of the elbow and
anterolateral portal placement. Patients were evaluated immediately
postoperatively and at subsequent visits and were monitored for signs of
radial nerve injury. Results: A total of 460 patients met the inclusion criteria, of which 309 (67%)
underwent the needle-and-knife technique. There was 1 case (0.3%) of
temporary radial nerve palsy. For the remaining 151 patients who underwent
anterolateral portal placement by other techniques, there were 2 cases of
temporary radial nerve palsy (1.3%). There were no cases of the
needle-and-knife technique being unsuccessful or abandoned in lieu of a
different technique. Use of the needle-and-knife technique increased over
time with experience and practice. Initially, contraindications to this
technique included impaired view of the lateral side of the anterior
compartment of the elbow caused by severe intra-articular scar (65%),
extensive synovitis (10%), or large osteophytes or loose bodies (10%). For
the remaining patients (15%) who did not have portals placed via the
needle-and-knife technique, alternate techniques were used for teaching
purposes. Conclusion: The needle-and-knife technique is reproducible and easy to perform by a
clinician instructed in its use and trained in elbow arthroscopy. Its main
advantage is that it permits the surgeon to safely slide the knife along the
lateral supracondylar ridge, releasing the scarred capsule and thereby
increasing the available space in which to work. Enlarging the working space
inside scarred and contracted elbows cannot be accomplished by distending
the capsule.
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Affiliation(s)
- Sutee Thaveepunsan
- Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
| | - Maegan N Shields
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA
| | - Shawn W O'Driscoll
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA
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Peripheral Nerve Injury After Elbow Arthroscopy: An Analysis of Risk Factors. Arthroscopy 2018; 34:1447-1452. [PMID: 29398211 DOI: 10.1016/j.arthro.2017.12.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2017] [Revised: 12/03/2017] [Accepted: 12/06/2017] [Indexed: 02/02/2023]
Abstract
PURPOSE To identify risk factors associated with peripheral nerve injury after elbow arthroscopy and provide an updated incidence of those complications. METHODS The elbow arthroscopies that were performed at our institution between 2006 and 2016 were identified. Over a 10-year period, 253 elbow arthroscopies were performed at our institution. Two hundred twenty-seven cases had a minimum follow-up of 4 weeks, and were included in our analysis. Minor and major nerve-related complications were recorded. The surgeon's experience and training, body max index of the patients, surgical tourniquet time, type of anesthesia or surgery, radiographic appearance of the elbow, diagnosis at the time of surgery, and presence of diabetes were analyzed. RESULTS There were 12 reported peripheral nerve injuries, 10 minor (4.4%) and 2 major complications (0.9%). The risk factors examined in this study were not correlated with a higher rate of complications. CONCLUSIONS The minor nerve-related complication rate was 4.4%, with a 0.9% incidence of major peripheral nerve injury. Based on these findings, we conclude that elbow arthroscopy is a relatively safe procedure. The risk factors examined in this study had no association with the rate of complications. This finding could be potentially related to type II or beta error in the analysis of risk factors for nerve injury. The exact reasons for nerve injury are not known from this study. LEVEL OF EVIDENCE Level IV, retrospective case series.
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Kowalski JM, Monica JT. A Novel Method of Patient Positioning Using Shoulder Arthroscopy Equipment for Elbow Arthroscopy. Orthopedics 2018; 41:e158-e160. [PMID: 29120003 DOI: 10.3928/01477447-20171102-04] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Accepted: 10/06/2017] [Indexed: 02/03/2023]
Abstract
Indications for elbow arthroscopy are expanding; however, it is uncommon compared with shoulder arthroscopy. Elbow arthroscopy can be complicated by positioning, including the need to obtain specific arm holders required by most operating rooms. Surgery can be performed in the supine, prone, or lateral position. Arm traction allows for distraction of the joint space, full insufflation, and therefore visualization of intra-articular anatomy. This article outlines a new technique using previously available shoulder arthroscopy equipment to avoid increased cost incurred by procuring new, elbow-specific equipment. This technique is performed in the supine position using a hydraulic system and a shoulder 3-point distractor. [Orthopedics. 2018; 41(1):e158-e160.].
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Thon S, Gold P, Rush L, O'Brien MJ, Savoie FH. Modified Anterolateral Portals in Elbow Arthroscopy: A Cadaveric Study on Safety. Arthroscopy 2017; 33:1981-1985. [PMID: 28822638 DOI: 10.1016/j.arthro.2017.06.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 05/11/2017] [Accepted: 06/19/2017] [Indexed: 02/02/2023]
Abstract
PURPOSE To evaluate the proximity to the radial nerve on cadaveric specimens of 2 modified anterolateral portals used for elbow arthroscopy. METHODS Ten fresh cadaveric elbow specimens were prepared. Four-millimeter Steinman pins were inserted into 3 anterolateral portal sites in relation to the lateral epicondyle: (1) the standard distal anterolateral portal, (2) a modified direct anterolateral portal, and (3) a modified proximal anterolateral portal. These were defined as follows: direct portals 2 cm directly anterior to the lateral epicondyle, and proximal portals 2 cm proximal and 2 cm directly anterior to the lateral epicondyle. Each elbow was then dissected to reveal the course of the radial nerve. Digital photographs were taken of each specimen, and the distance from the Steinman pin to the radial nerve was measured. RESULTS The modified proximal anterolateral and direct anterolateral portals were found to be a statistically significant distance from the radial nerve compare to the distal portal site (P = .011 and P = .0011, respectively). No significant difference was found in the proximity of the radial nerve between the modified proximal and direct anterolateral portals (P = .25). Inadequate imaging was found at a single portal site for the proximal site; 9 specimens were used for analysis of this portal with 10 complete specimens for the other 2 sites. CONCLUSIONS In cadaveric analysis, both the modified proximal and direct lateral portals provide adequate distance from the radial nerve and may be safe for clinical use. In this study, the distal anterolateral portal was in close proximity of the radial nerve and may result in iatrogenic injury in the clinical setting. CLINICAL RELEVANCE This is a cadaveric analysis of 2 modified portal locations at the anterolateral elbow for use in elbow arthroscopy. Further clinical studies are needed prior to determining their absolute safety in comparison to previously identified portal sites.
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Affiliation(s)
- Stephen Thon
- Department of Orthopaedics, Tulane University, New Orleans, Los Angeles, U.S.A
| | - Peter Gold
- Northwell Health Orthopaedic Institute, New Hyde Park, New York, U.S.A.; Department of Orthopaedics, Tulane University, New Orleans, Los Angeles, U.S.A
| | - Lane Rush
- Department of Orthopaedics, Tulane University, New Orleans, Los Angeles, U.S.A
| | - Michael J O'Brien
- Department of Orthopaedics, Tulane University, New Orleans, Los Angeles, U.S.A
| | - Felix H Savoie
- Department of Orthopaedics, Tulane University, New Orleans, Los Angeles, U.S.A..
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Abstract
The incidence of osteoarthritis in the general population is low, but it can be seen in manual laborers, throwing athletes, and people dependent on crutches and wheelchairs. Patients often complain of pain at the terminal extents of motion, and imaging shows osteophyte formation at the tips of the coronoid and olecranon processes as well as thickening of the bone between the coronoid and the olecranon fossae. Recent advances in arthroscopic instrumentation and techniques have led to a growing interest in the arthroscopic treatment of elbow osteoarthritis. This article provides a review of basic arthroscopic elbow anatomy and the most common procedures, including diagnostic arthroscopy, loose body removal, and arthroscopic osteocapsular and ulnohumeral arthroplasty. As techniques advance, there might be interest in further procedures including arthroscopic-assisted interpositional arthroplasty. Although complications such as persistent drainage and nerve injury are frequently mentioned with elbow arthroscopy, the actual incidence of such complications remains low.
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Moverley R, Colaco HB, Rudran B, Szarko M, Arnander M, Tennent D. Quantification of the articular view of the elbow afforded by standard portals using 30° arthroscopy. Shoulder Elbow 2017; 9:205-211. [PMID: 28588661 PMCID: PMC5444604 DOI: 10.1177/1758573216687925] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 11/29/2016] [Indexed: 11/16/2022]
Abstract
BACKGROUND The present study quantifies the field of view (FOV) from standard arthroscopy portals and aims to identify anatomical regions where the FOV is limited. METHODS Eleven cadaveric elbows were examined through standard anteromedial, anterolateral and posterior portals. The FOV was marked with dye using a spinal needle. The articular surfaces were then exposed and the percentage FOV seen was calculated. FOV percentage areas were compared using a Student's t-test (JMP, version 10, SAS Institute Inc., Cary, NC, USA). P < 0.05 was considered statistically significant. RESULTS The mean (SD) FOV percentage area seen from the anteromedial portal and anterolateral portal was 91.69% (3.63%) and 92.03% (3.93%), respectively, for the anterior humerus articular surface. There was no significant difference in the mean FOV percentage area seen from the anteromedial and anterolateral portals (p = 0.99). The mean (SD) FOV percentage area of the posterior humerus articular surface was 84.69% (2.28%). The mean (SD) FOV percentage area seen of the radial head and trochlear was 16.05% (2.66%) and 4.14% (1.76%), respectively. CONCLUSIONS The present study is the first to quantify the FOV of elbow arthroscopy. The majority of the anterior and posterior humerus articular surface can be seen through standard portals. The limitations in FOV are primarily confined to the radial head and trochlear notch.
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Affiliation(s)
- Robert Moverley
- Trauma & Orthopaedic Surgery, St George’s Hospital, London, UK,Robert Moverley, St Georges Hospital, Blackshaw Road, London SW17 0QT, UK.
| | - Henry B. Colaco
- Trauma & Orthopaedic Surgery, St George’s Hospital, London, UK
| | - Bran Rudran
- St George’s Medical School, Univeristy of London, London, UK
| | - Matthew Szarko
- St George’s Medical School, Univeristy of London, London, UK
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Hodax JD, Blood TD, Kleinhenz DT, Gorman M, DaSilva M, DaSilva M. An Anatomic Evaluation of Arthroscopic Access to the Radial Head. Arthroscopy 2017; 33:953-958. [PMID: 28343808 PMCID: PMC6139673 DOI: 10.1016/j.arthro.2017.01.031] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Revised: 01/28/2017] [Accepted: 01/30/2017] [Indexed: 02/02/2023]
Abstract
PURPOSE To determine the area of the radial head accessible for visualization and screw placement from the standard anteromedial and anterolateral portals used in elbow arthroscopy. METHODS Five cadaveric elbows were arthroscopically evaluated using standard anteromedial and anterolateral portals. Markers (pins) were placed into the accessible portions of the radial head at maximal pronation and supination. Specimens were then evaluated by computed tomography, and the arc of the radial head accessible from each portal was determined. RESULTS A continuous 220.04° ± 37.58° arc of the radial head was accessible from the combination of the anterolateral and anteromedial portals. From the anteromedial portal, the arc obtained measured 147.96° ± 21.81°, and from the anterolateral portal, the arc obtained measured 156.02° ± 33.32°. Using the radial styloid as a marker for 0°, the mean total arc ranged from 92.3° ± 34.06° dorsal to 127.74° ± 23.65° volar relative to the radial styloid. CONCLUSIONS Standard anteromedial and anterolateral portals used for elbow arthroscopy allow access to an average 220° area of the radial head. CLINICAL RELEVANCE This study defines the area of the radial head that can be contacted using commonly used, safe, and simple portals.
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Affiliation(s)
- Jonathan D. Hodax
- Department of Orthopaedics, Warren Alpert School of Medicine, Brown University
| | - Travis D. Blood
- Department of Orthopaedics, Warren Alpert School of Medicine, Brown University
| | | | - Megan Gorman
- Warren Alpert School of Medicine, Brown University
| | - Manuel DaSilva
- Department of Orthopaedics, Warren Alpert School of Medicine, Brown University
| | - Manuel DaSilva
- Department of Orthopaedics, Warren Alpert School of Medicine, Brown University, U.S.A
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El Hajj F, Hoteit M, Ouaknine M. Elbow arthroscopy: An alternative to anteromedial portals. Orthop Traumatol Surg Res 2015; 101:411-4. [PMID: 25910702 DOI: 10.1016/j.otsr.2015.03.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2013] [Revised: 02/28/2015] [Accepted: 03/09/2015] [Indexed: 02/02/2023]
Abstract
BACKGROUND Elbow arthroscopy is considered to be a difficult procedure with a high complication rate. These two disadvantages are due to the proximity of neurovascular structures. HYPOTHESIS The aim of our study was to evaluate the efficacy and complication rate of a new elbow arthroscopy technique without anteromedial portals. This approach was taken because of the high rate of ulnar nerve damage using the medial portal, and the difficulty of performing triangulation of opposite portals in a patient in the lateral decubitus position. MATERIAL AND METHODS Fifteen patients were operated on by the same surgeon between 2010 and 2012. Range of motion and the "MEPS" elbow score were calculated preoperatively and at the final postoperative follow-up. The average age of patients was 38.3 years. The follow-up was 11.1 months. Personal portals (high anterolateral and intermediate anterolateral portals) were used instead of the anteromedial portals. RESULTS Elbow flexion increased from 113° preoperatively to 129° at the final follow-up (P=0.009). Extension increased from -33° to -10° (P<0.0001). The preoperative and final postoperative "MEPS" scores were 56.3 and 94 respectively (P<0.0001). Two patients (13.3%) had radial nerve palsy with complete recovery 6 and 9 months after surgery. DISCUSSION The rate of nerve complications following elbow arthroscopy varies from 0 to 14%. The rate in our series (13.3%) is comparable to the results of the literature. This rate should be placed in perspective (since one patient had multiple open surgery elbow operations before arthroscopy). All complications were transient. Improved elbow range of motion in our study is consistent with the results in literature.
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Affiliation(s)
- F El Hajj
- Service de chirurgie orthopédique, hôpital Cochin, 47-83, boulervard de l'Hôpital, 75013 Paris, France.
| | - M Hoteit
- Faculté de santé publique, université libanaise, Hadath, Lebanon
| | - M Ouaknine
- Service de chirurgie orthopédique, hôpital Cochin, 47-83, boulervard de l'Hôpital, 75013 Paris, France
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Bibliography—Editors’ selection of current world literature. CURRENT ORTHOPAEDIC PRACTICE 2013. [DOI: 10.1097/bco.0b013e31829d7cd1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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