Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Basic Research 169 articles


Is Tip Apex Distance As Important As We Think? A Biomechanical Study Examining Optimal Lag Screw Placement

Patrick Kane MD, Bryan Vopat MD, Wendell Heard MD, Nikhil Thakur MD, David Paller MD, Sarath Koruprolu BS, Christopher Born MD

Intertrochanteric hip fractures pose a significant challenge for the orthopaedic community as optimal surgical treatment continues to be debated. Currently, varus collapse with lag screw cutout is the most common mode of failure. Multiple factors contribute to cutout. From a surgical technique perspective, a tip apex distance less than 25 mm has been suggested to decrease the risk of cutout. We hypothesized that a low-center lag screw position in the femoral head, with a tip apex distance greater than 25 mm will provide equal, if not superior, biomechanical stability compared with a center-center position with a tip apex distance less than 25 mm in an unstable intertrochanteric hip fracture stabilized with a long cephalomedullary nail.

Are There Biological Markers for Wear or Corrosion? A Systematic Review

D. Rick Sumner PhD, Ryan Ross PhD, Ed Purdue PhD

Identification of biomarkers associated with wear and tribocorrosion in joint arthroplasty would be helpful to enhance early detection of aseptic loosening and/or osteolysis and to improve understanding of disease progression. There have been several new reports since the last systematic review (which covered research through mid-2008) justifying a new assessment.

Radiographic Evaluation of Bone Adaptation Adjacent to Percutaneous Osseointegrated Prostheses in a Sheep Model

Sujee Jeyapalina PhD, James Peter Beck MD, Kent N. Bachus PhD, Ornusa Chalayon MD, Roy D. Bloebaum PhD

Percutaneous osseointegrated prostheses (POPs) are being investigated as an alternative to conventional socket suspension and require a radiographic followup in translational studies to confirm that design objectives are being met.

Evaluating the Affect and Reversibility of Opioid-induced Androgen Deficiency in an Orthopaedic Animal Fracture Model

Jesse Chrastil MD, Christopher Sampson BS, Kevin B. Jones MD, Thomas F. Higgins MD

Opioid pain medications are the basis for analgesia after orthopaedic injuries and procedures. However, opioids have many adverse effects, including opioid-induced androgen deficiency.

Does Dual-mobility Cup Geometry Affect Posterior Horizontal Dislocation Distance?

Christopher Heffernan BME, Samik Banerjee MD, Jim Nevelos PhD, James Macintyre, Kimona Issa MD, David C. Markel MD, Michael A. Mont MD

Dual-mobility acetabular cups have been marketed with the purported advantages of reduced dislocation rates and improvements in ROM; however, the relative efficacies of these designs in terms of changing joint stability via ROM and dislocation distance have not been thoroughly evaluated.

Novel Microhydroxyapatite Particles in a Collagen Scaffold: A Bioactive Bone Void Filler?

Frank G. Lyons MB, PhD, MRCS, John P. Gleeson PhD, Sonia Partap PhD, Karen Coghlan PhD, Fergal J. O’Brien PhD

Treatment of segmental bone loss remains a major challenge in orthopaedic surgery. Traditional techniques (eg, autograft) and newer techniques (eg, recombinant human bone morphogenetic protein-2 [rhBMP-2]) have well-established performance limitations and safety concerns respectively. Consequently there is an unmet need for osteoinductive bone graft substitutes that may eliminate or reduce the use of rhBMP-2.

Mesenchymal Stem Cells in Synovial Fluid Increase After Meniscus Injury

Yu Matsukura MD, Takeshi Muneta MD, PhD, Kunikazu Tsuji PhD, Hideyuki Koga MD, PhD, Ichiro Sekiya MD, PhD

Although relatively uncommon, spontaneous healing from a meniscus injury has been observed even within the avascular area. This may be the result of the existence of mesenchymal stem cells in synovial fluid.

Patients With Hip Osteoarthritis Have a Phenotype With High Bone Mass and Low Lean Body Mass

Magnus K. Karlsson MD, PhD, Håkan Magnusson MD, PhD, Maria C. Cöster MD, Tord vonSchewelov MD, PhD, Caroline Karlsson MD, PhD, Björn E. Rosengren MD, PhD

Although hip osteoarthritis (OA) is common, its etiology is poorly understood. Specifically, it is not known whether hip OA is associated with abnormal relationships among the anthropometric and musculoskeletal characteristics that are associated with OA in general.

Progression of Bone Ingrowth and Attachment Strength for Stability of Percutaneous Osseointegrated Prostheses

Sujee Jeyapalina PhD, J. Peter Beck MD, Roy D. Bloebaum PhD, Kent N. Bachus PhD

Percutaneous osseointegrated prosthetic (POP) devices have been used clinically in Europe for decades. Unfortunately, their introduction into the United States has been delayed, in part due to the lack of data documenting the progression of osseointegration and mechanical stability.

Loss of Cement-bone Interlock in Retrieved Tibial Components from Total Knee Arthroplasties

Mark A. Miller MS, Jacklyn R. Goodheart BS, Timothy H. Izant MD, Clare M. Rimnac PhD, Richard J. Cleary PhD, Kenneth A. Mann PhD

Aseptic loosening continues to be a short- and long-term complication for patients with cemented TKAs. Most studies to this point have evaluated tibial component fixation via radiographic changes at the implant-bone interface and quantification of component migration; direct assessment of morphologic features of the interface from functioning TKAs may provide new information regarding how TKAs function and are fixed to bone.