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Ortho Update

Combined Use of the Ilizarov Technique and Taylor Spatial Frame in Severe Lower Extremity Trauma

Jan. 24, 2013

Severe lower extremity trauma often results in the loss of bone, muscle, and skin. Reconstruction of these injuries is extremely challenging due to the amount of bone that must be reconstructed and the size of wounds that must be closed.

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Exploring Genetic Factors in Impaired Bone Healing

Jan. 23, 2013

Among the nearly 8 million fractures that occur annually in the United States, approximately 10 percent of these, or 800,000 show impaired healing or non-union. According to J. Spence Reid, MD, Penn State Bone and Joint Institute, “Although we know that certain factors like smoking and diabetes, and some medications are associated with impaired bone healing; in some cases it’s unexplained. “

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Club Foot: Ponseti Treatment Offers Long-Term Success

Sep. 19, 2012

Club foot is a congenital deformity that, if left untreated, can cause lifelong disability.

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Bisphosphonate-related Atypical Femur Fractures: Detection and Management

Sep. 18, 2012

With the prevalence of osteoporosis expected to rise in the coming years, early recognition and management of bisphosphonate-related atypical femur fractures will become increasingly important.

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Problem: How to Improve Bone Graft Integration and Strength

Sep. 18, 2012

Critical-size bone defects are challenging to bridge and successfully treat. A research team at Penn State Bone and Joint Institute, led by Henry J. Donahue, PhD, postdoctoral fellow Alayna Loiselle, PhD, and Akhlesh Lakhtakia, PhD, the Charles Godfrey Binder Professor of Engineering Science and Mechanics, Pennsylvania State University, is exploring new biotechnologies to enhance bone integration in such patients.

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Graft Choices for Optimizing Anterior Cruciate Ligament Reconstruction

Sep. 17, 2012

对于年轻的成人患者中我订婚了n highly demanding competitive athletics or recreational sports, such as soccer, basketball, field hockey, and skiing, the cumulative risk of anterior cruciate ligament (ACL) injury, over time, is high. Young women are at particular risk, with two to eight times the incidence of ACL injury compared to men.

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The Posteromedial Tibial Plateau Fracture: New Perspectives

May. 29, 2012

Fractures of the posteromedial tibial plateau are challenging to treat, owing to their complexity and unfamiliar surgical approach. J. Spence Reid, MD, Penn State Bone and Joint Institute explains, “This fracture pattern may occur as part of a fracture-dislocation in which it is often associated with an ACL tear, or as part of a bicondylar tibial plateau fracture.”

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A Link Between Foot and Ankle Postoperative Wound Complications and Hypothyroidism

May. 24, 2012

Among the nearly one thousand adult foot and ankle surgeries performed annually at Penn State Bone and Joint Institute, Paul J. Juliano, MD, professor of foot and ankle orthopaedics, noticed what seemed to be a higher than average rate of post-surgical wound complications among patients with hypothyroidism. Juliano observed, “Complications in these patients included not only infection, but also wound dehiscence,” a problem not commonly seen following foot and ankle surgery, marked by opening of the wound along natural or surgical suture lines.

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Glenoid Loosening

May. 23, 2012

Total shoulder replacement is a surgery typically conducted to alleviate symptoms of arthritis such as chronic pain, limited range-of-motion, and impaired daily functioning.

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Femoroacetabular impingement (FAI) Gaining Acceptance as a Treatable Cause of Groin and Hip Pain in Young, Active Adults

Nov. 11, 2011

When a young, active adult presents with chronic groin or hip pain, in the absence of frank intra-articular hip joint damage or other identifiable cause, conventional approaches to treatment focus on conservative management (physical therapy, massage, changes to their daily routine, or anti-inflammatory medication). In recent years, however, femoroacetabular impingement (FAI) has been gaining acceptance as a treatable source of the pain.

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宾夕法尼亚州立大学骨和关节研究所represents the clinical aspect of Penn State Orthopaedics and Rehabilitation. Faculty from Penn State Orthopaedics and Rehabilitation teach and perform leading-edge research in the department, and provide innovative care in the multi-disciplinary Penn State Bone and Joint Institute. As a department, Penn State Orthopaedics and Rehabilitation faculty, clinicians and researchers have been recognized nationally, ranking thirteenth in orthopaedic research funding from the National Institutes of Health.

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