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1

Dr., Saurabh Jain. "A Life to Live Beyond Orthopaedics." Orthopaedic Journal of M P Chapter 26, no. 1 (March 23, 2020): 1–2. https://doi.org/10.5281/zenodo.3969725.

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Why we have chosen Orthopaedics for ourselves? There can many personalized reasons for the above, but the commoner are – its lucrative, paying, satisfying, early practice settlement, definitive and terminal branch. There are hardly any females in the branch; hence Orthopaedic branch is totally all boys party without any inhibitions. They have all sorts of fun and enjoyment. Orthopods live life king size. The various modes of leisure for orthopods are parties, exercises/physical activity/gyming followed by travelling, food and wine, whereas less common in them are music and arts (photography, painting, sculpture). Party with friends, colleagues or family members is most common form of enjoyment for orthopods and most of orthopaedicans are party animals having regular parties. On an average orthopods do party or attend functions about one per week. These parties are full with boozing and smoking and almost more than 80 % of the surgeons are drinkers in these parties having average more than two drinks per day. Only 20% of orthopaedic surgeons are non-drinkers. About 30 % of the orthopaedians are smokers, among which 20 % are chain smokers. Many of the academic conferences, short table gatherings and group discussions held over the dinner table for orthopaedic surgeons arranged by the pharmaceuticals are for alcohol only. Many of the academic meetings attended by the members outside the hometown are not for academic content, but only for the food, alcohol, banquet or entertainment, outside the hometown as they are away from inhibitions. These gatherings between the orthopod surgeons is always with adult jokes and abusive slangs which is commonly done over smoke and booze.The average happiness rating for an orthopaedician is 3.96 out of 5.
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2

Lee, E. H. "Paediatric Orthopaedics in Singapore." Annals of the Academy of Medicine, Singapore 31, no. 5 (September 15, 2002): 568–72. https://doi.org/10.47102/annals-acadmedsg.v31n5p568.

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This article traces the development of Paediatric Orthopaedics in Singapore. Ever since the formation of the University Department of Orthopaedics in 1952, orthopaedic surgeons have had a special interest in musculoskeletal problems in children. Special clinics called “Congenital Clinics” were held in the Singapore General Hospital to look after these children. These clinics were continued in the Singapore General Hospital after the University Department moved to the National University Hospital in 1985. In 1987, a Division of Paediatric Orthopaedics was formed at the National University Hospital to streamline the care of children with musculoskeletal problems. In 1997, the new KK Women’s and Children’s Hospital opened with a Department of Orthopaedic Surgery dedicated to paediatric patients. In the space of 50 years Paediatric Orthopaedics has become an established subspecialty in Singapore.
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Kalyanasundaram, Gokul, Amanda Mener, and Matthew DiCaprio. "Trends in Gender Diversity Among Orthopaedic Applicants, Residents, Physician Associates, and Faculty." JBJS Journal of Orthopaedics for Physician Assistants 12, no. 3 (July 2024): e24.00017. http://dx.doi.org/10.2106/jbjs.jopa.24.00017.

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Orthopaedic surgery has struggled with low female representation, spurring new initiatives to recruit diverse applicants to the field. We aimed to characterize trends in gender diversity among orthopaedic applicants, residents, physician assistants, and faculty and compare these trends with all other surgical and medical specialties. Data on applicants, residents, physician assistants, and faculty of every specialty from 2016-2020 were obtained. Female representation increased between 2016 to 2020 among orthopaedic applicants from 14.7% to 19.7%, among orthopaedic residents from 14.8% to 16.0%, among orthopaedic physician assistants from 50.1% to 52.3%, and among orthopaedic faculty from 18.2% to 20.5%. Orthopaedics had less female representation among residents (16.0%) compared to applicants (19.7%). In addition, orthopaedics had lower female representation among applicants, residents, physician assistants, and faculty between 2016-2020 than every surgical and medical specialty (p<0.01). Female representation among orthopaedic applicants, residents, physician assistants, and faculty is increasing over time. However, orthopaedic surgery had lower female representation among applicants, residents, physician assistants, and faculty compared to every surgical and medical specialty. While female orthopaedic applicant representation increased 5% over the last five years, female orthopaedic resident representation only increased 1.2%, suggesting difficulty among female applicants matching into orthopaedics.
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Osowski, Jakub, and Tomasz Mazurek. "History of osteosynthesis in the Department of Orthopaedics and Traumatology, Medical University of Gdansk, based on examination of surgical instruments withdrawn from the operating theatre." Chirurgia Narządów Ruchu i Ortopedia Polska 87, no. 3 (September 22, 2022): 118–22. http://dx.doi.org/10.31139/chnriop.2022.87.3.5.

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Based on the analysis of surgical instruments withdrawn from the operating theatre, it was decided to briefly present the history of osteosynthesis in the orthopaedic department in Gdansk, Poland. Boxes with orthopaedic instruments withdrawn from the operating theatre were obtained. The instruments were grouped, numbered, photographed and catalogued. Not all obtained instruments were used in orthopaedics; the boxes contained several instruments typically used in other fields of surgery. Attempts have been made to divide orthopaedic instruments into several groups, depending on their use in bone fixation. Some specific instruments are used only in one method. The most interesting tools are discussed in detail, with attention to their features and role in shaping modern orthopaedics. Some of the obtained equipment could have been made in the Orthopaedic Workshop in the hospital. They are specific exhibits related to the development of orthopaedics in this hospital that required preservation.
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5

Silva, Geeth, Robert U. Ashford, Clare J. Wildin, and Pramod Achan. "Evidence-based quality leadership in orthopaedics." British Journal of Hospital Medicine 83, no. 3 (March 2, 2022): 1–9. http://dx.doi.org/10.12968/hmed.2021.0617.

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There is a paucity of literature analysing the importance of leadership within trauma and orthopaedics. However, such skills are essential to make an orthopaedic surgeon proficient in their various roles. This literature review on leadership within orthopaedics enables an understanding of current issues. A narrative literature review was conducted using Pubmed, Medline and The National Centre for Biotechnology databases. The search string used to conduct the narrative literature review was (orthopaedic) and (leadership[Title]). The articles were screened by title, abstract and full text. A reference search was subsequently conducted on these papers using the same inclusion and exclusion criteria. The papers then underwent a thematic analysis to understand the issues surrounding leadership in orthopaedics. The critical themes recognised were quality improvement, training, women in leadership, inequality and traits of a leader. Through reviewing the themes in this article, a framework was developed to identify the current issues and potential avenues of advancing orthopaedic leadership. This narrative literature review has demonstrated a paucity of research in orthopaedic leadership. Further work would create a robust evidence base, outline ideal orthopaedic leadership and standardise training to create better orthopaedic leaders.
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6

Al-kulabi, Ali, Mohamed A. Mansour, and Azeem Thahir. "The orthopaedic experience of COVID-19: A literature review." Journal of Perioperative Practice 31, no. 3 (February 8, 2021): 102–7. http://dx.doi.org/10.1177/1750458920971506.

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This literature review aims to provide an account of the changes to orthopaedics in the era of COVID-19. Herein, the authors explored the use of telemedicine in orthopaedics as well as changes in surgical protocols, screening methods, work priorities and orthopaedic education. There was increased utilisation of telemedicine in orthopaedic training and outpatient cases as a means to provide continuity in education and care. The need to implement social distancing measures, coupled with the reduced availability of staff, has dictated that the practice of orthopaedics shifts to focus on acute care whilst redistributing resources to front-line specialities. This was facilitated by the cancellation of electives and the reduction of outpatient clinics. Thus, it is demonstrated that major changes have been implemented in many aspects of orthopaedic practice in order to address the challenges of the COVID-19 pandemic.
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7

Burkhart, Robert J., Alexander J. Acuña, David A. Kolin, Christian J. Hecht, Aakash K. Shah, and Atul F. Kamath. "What Are the Trends in the Utilization of Orthopaedic Advanced Practice Professionals? A Large Database Medicare Study." JBJS Journal of Orthopaedics for Physician Assistants 11, no. 4 (2023): e23.00015. http://dx.doi.org/10.2106/jbjs.jopa.23.00015.

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Background: Advanced practice professionals (APPs), such as physician assistants (PAs) and nurse practitioners (NPs), are expected to have an increasing role in delivering high-quality orthopaedic care in the coming years. Our analysis aimed to determine the current proportion and geographic distribution of APPs in orthopaedics. In addition, we predicted future growth into 2025. Methods: Our analysis was a retrospective, large national database study evaluating services provided by APPs from 2014 to 2019 using the Medicare Provider Utilization and Payment Data prepared by the Centers for Medicare & Medicaid Services (CMS). NPs and PAs were recognized by provider type and aggregated to form the APP group for analysis. Mann-Kendall trend tests were used to evaluate changes in the number of each provider type. Poisson regression will be used to predict the expected number of APPs in the field up to the year 2025. Results: From 2014 to 2019, there was a 34.36% increase in the number of orthopaedic APPs (5,480-7,363), compared with a 5.37% increase in orthopaedic surgeons (22,518-23,728). APPs were located in predominately large metropolitan areas (96%), followed by small metropolitan (3.6%) and rural areas (0.4%). Using data from our study period, we projected that by 2025, there will be 10,484 APPs in orthopaedic surgery [95% Confidence Interval (CI): 9,004-11,964 providers]. This represents an 84% increase over the decade between 2015 and 2025. Conclusion: Our analysis demonstrated that the volume of established patient visits and various nonsurgical services provided by APPs in orthopaedic surgery continues to grow. The number of APPs and surgeons in orthopaedics is increasing, but the proportion of APPs choosing orthopaedics as a speciality is on the decline. Furthermore, we found a greater proportion of PAs in orthopaedics than NPs. Because the demand for services for orthopaedic surgery continues to grow, APPs may serve as one possible solution to increase access to orthopaedic care, and additional programs should be developed to improve the educational access for APPs to train in orthopaedics.
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8

Iobst, Christopher, Alexander Cherkashin, and Robert Wigginton. "Historical Persepective: Gavriil Ilizarov, MD." Journal of the Pediatric Orthopaedic Society of North America 4, no. 1 (January 31, 2022): 1–12. http://dx.doi.org/10.55275/jposna-2022-0010.

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Gavriil Ilizarov (1921-1992) would have celebrated his 100th birthday in 2021. His contributions to the field of orthopaedic surgery are simply extraordinary. While he is most famous for the circular external fixator system that bears his name, his principles of distraction osteogenesis revolutionized the field of limb lengthening and reconstruction. Despite having no formal education in orthopaedics, he developed a method that became so successful that an 800-bed orthopaedic hospital was built for him in Kurgan, Siberia. The Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics became the largest orthopaedic clinic in the world.
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9

Tarrant, Seth, Vafa Behzadpour, Thomas McCormack, Justin Cline, Jordan Willis, Gregory Mendez, Rosalee Zackula, Bradley Dart, and Bernard Hearon. "Improving Medical Student Mentorship in Orthopaedic Surgery." Kansas Journal of Medicine 16, no. 1 (February 21, 2023): 48–52. http://dx.doi.org/10.17161/kjm.vol16.18770.

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Introduction. Owing to limited clinical clerkships and travel restrictions related to COVID-19, recent medical student mentorship in orthopaedic surgery has been negatively impacted. The purpose of this Quality Improvement (QI) project was to determine if medical student awareness of orthopaedics as a possible career field may be improved through a mentoring program designed and delivered by orthopaedic residents. Methods. A five-resident QI team developed four educational sessions aimed at a medical student audience. Forum topics included (1) orthopaedics as a career, (2) fracture conference, (3) splinting workshop, and (4) residency application process. Pre- and post-forum surveys were administered to student participants to assess changes in their perceptions regarding orthopaedic surgery. Data derived from the questionnaires were analyzed with nonparametric statistical tests. Results. Of 18 forum participants, 14 were men and 4 were women. A total of 40 survey pairs were collected, averaging 10 per session. In the all-participant encounter analysis, there were statistically significant improvements in all outcome measures including interest in, exposure to, and knowledge of orthopaedics; exposure to our training program; and ability to interact with our residents. Those undecided regarding their specialty demonstrated larger increases in post-forum responses, suggesting that the learning experience was more impactful for that subgroup. Conclusions. This QI initiative was a successful demonstration of orthopaedic resident mentorship of medical students, wherein perceptions of orthopaedics were favorably influenced by the educational experience. For some students with limited access to orthopaedic clerkships or formal one-on-one mentoring, forums like these may be an acceptable alternative.
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10

Keny, Swapnil M. "Trends in Guided Growth for Correction of Angular Deformities around the Knee: Past, Present, and Future." Journal of Clinical Orthopaedics 8, no. 2 (2023): 57–61. http://dx.doi.org/10.13107/jcorth.2023.v08i02.600.

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The principles of guided growth have been followed in orthopaedics since historic times . The bent tree braced to a stake to make it grow upward and straight is the first reference to the principles of growth modulation in the annals of orthopaedic history Keywords: Guided Growth, Epiphysiodesis, Hemiepiphysiodesis, growth modulation, eight plates, genu varum, genu valgum, deformity correction, pediatric orthopaedics, growth plate
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11

Ganesh, Arjun, and M. Mohan Kumar. "Advancing patient care: unleashing the potential of artificial intelligence in orthopaedics." International Journal of Research in Orthopaedics 9, no. 6 (October 26, 2023): 1298–99. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20233283.

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I am writing to highlight the remarkable strides that artificial intelligence (AI) has taken in the field of orthopaedics, paving the way for transformative changes in patient care and clinical outcomes. As the realm of medical science evolves, integrating AI into orthopaedics has the potential to revolutionize diagnosis, treatment, and management strategies, enhancing both the precision and efficiency of orthopaedic care.
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12

Drakoulakis, Emmanouil, Spyros Michaleas, Konstantinos Laios, Kalliopi Lampropoulou-Adamidou, Theodoros Tosounidis, George Kontakis, and Marianna Karamanou. "Ioannis Chrysospathis, theodoros Garofalidis and Georgios Hartofilakidis: The pioneers of orthopaedics in Greece." Scripta Medica 55, no. 1 (2024): 107–13. http://dx.doi.org/10.5937/scriptamed55-47243.

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The aim of the present paper was to highlight the work of Chrysospathis, Garofalidis and Chartofylakidis, who dedicated themselves to the emergence of orthopaedics as an independent branch of medical science in modern Greece. The ancient Greek physicians Hippocrates, Galen and Paulus of Aegina laid the foundations for the emergence of orthopaedics and ancient Greek civilisation undoubtedly played a significant role in the evolution of this medical art throughout the following centuries. In modern Greece, Ioannis Chrysospathis fought for orthopaedics to be a separate medical branch rather than a practice within the context of general surgery. Theodoros Garofalidis also contributed to the evolution of orthopaedics in Greece, while Georgios Hartofilakidis brought pioneer knowledge to the Greek area, contributed to the creation of specialised orthopaedic departments and internationally contributed to the study of hip diseases and the art of total hip arthroplasty.
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13

Kayastha, S. R., B. Parajuli, A. Basi, and D. Shrestha. "Orthopaedic Services during Nationwide COVID-19 Lockdown: Dhulikhel Hospital, Kathmandu University Hospital Experience and Review." Kathmandu University Medical Journal 18, no. 2 (November 17, 2020): 29–35. http://dx.doi.org/10.3126/kumj.v18i2.32941.

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Background The Nepal government issued a nationwide lockdown due to COVID-19 from 24 March to 21 July 2020. This halted elective medical services in our hospital. A number of modifications in the orthopaedic practices at our department were made. 
 Objective This article discusses the impact on orthopaedic load at the Department of Orthopaedics and Trauma, Dhulikhel Hospital, Kathmandu University Hospital during the lockdown. 
 Method This is a longitudinal observational study done during the nation-wide lockdown including all the patients who presented to the hospital requiring orthopaedic consultation. For comparison purposes, the patient numbers from the same date in previous year (2019) were retrieved. 
 Result We received no COVID-19 cases requiring orthopaedics consultation. A total of 1828 patients were seen in the Orthopaedic Outpatient Department, 1077 trauma patients in the Emergency Department, 216 patients were admitted and 210 orthopaedics procedures were performed at the operation theatre. There was 82.21% decrease in OPD patients and 56% less surgeries in OT compared to the same duration of last year.
 Conclusion There was a great reduction in the patient numbers visiting the hospital, which reflected in decreased number of admission and surgery. A greater part of our work during the lockdown was trauma.
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Myint, P., and J. F. Innes. "Demineralised bone matrix in veterinary orthopaedics: A review." Veterinary and Comparative Orthopaedics and Traumatology 23, no. 06 (2010): 393–99. http://dx.doi.org/10.3415/vcot-10-02-0022.

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SummaryDemineralised bone matrix (DBM) is commonly used in human orthopaedics as an allograft prepared from cortical bone. As such, there is a background of literature on the basic science, experimental animal studies and clinical human use of DBM. Because canine DBM is now increasingly available and used in veterinary orthopaedics, this review aims to update the veterinary orthopaedic specialist with the properties and activities of this bone allograft product.
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Monet, Jacques, and Grégory Quin. "Sauveur-Henri-Victor Bouvier (1799–1877): orthopédiste, chirurgien et promoteur de l’éducation physique." Gesnerus 70, no. 1 (November 11, 2013): 53–67. http://dx.doi.org/10.1163/22977953-07001005.

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This article establishes the biography of a little known physician of the 19th century., whose commitment with orthopaedics and formulation of medical gymnastics was important: the surgeon-orthopaedist Sauveur-Henri-Victor Bouvier. Several constitutive processes of the medical field of the 19th century are analysed: specialization (around orthopaedics), pro - fessionalization and development of various therapeutic and hygienic methods (among them medical gymnastics). Bouvier’s biography is particularly instructive and sheds new light on these different processes, as well as on the institutionalization of orthopaedics from the 1820’s up to the 1870’s, at the intersection between medical and educative fields, between hospital, medical faculty and teaching of gymnastics.
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Laverdière, Carl, Jason Corban, Jason Khoury, Susan Mengxiao Ge, Justin Schupbach, Edward J. Harvey, Rudy Reindl, and Paul A. Martineau. "Augmented reality in orthopaedics." Bone & Joint Journal 101-B, no. 12 (December 2019): 1479–88. http://dx.doi.org/10.1302/0301-620x.101b12.bjj-2019-0315.r1.

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Aims Computer-based applications are increasingly being used by orthopaedic surgeons in their clinical practice. With the integration of technology in surgery, augmented reality (AR) may become an important tool for surgeons in the future. By superimposing a digital image on a user’s view of the physical world, this technology shows great promise in orthopaedics. The aim of this review is to investigate the current and potential uses of AR in orthopaedics. Materials and Methods A systematic review of the PubMed, MEDLINE, and Embase databases up to January 2019 using the keywords ‘orthopaedic’ OR ‘orthopedic AND augmented reality’ was performed by two independent reviewers. Results A total of 41 publications were included after screening. Applications were divided by subspecialty: spine (n = 15), trauma (n = 16), arthroplasty (n = 3), oncology (n = 3), and sports (n = 4). Out of these, 12 were clinical in nature. AR-based technologies have a wide variety of applications, including direct visualization of radiological images by overlaying them on the patient and intraoperative guidance using preoperative plans projected onto real anatomy, enabling hands-free real-time access to operating room resources, and promoting telemedicine and education. Conclusion There is an increasing interest in AR among orthopaedic surgeons. Although studies show similar or better outcomes with AR compared with traditional techniques, many challenges need to be addressed before this technology is ready for widespread use. Cite this article: Bone Joint J 2019;101-B:1479–1488
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Saini, Ravi, Madhan Jeyaraman, Naveen Jeyaraman, Vijay Kumar Jain, Swaminathan Ramasubramanian, and Karthikeyan P. Iyengar. "Advancing orthopaedic trauma care through WhatsApp: An analysis of clinical and non-clinical applications, challenges, and future directions." World Journal of Orthopedics 15, no. 6 (June 18, 2024): 529–38. http://dx.doi.org/10.5312/wjo.v15.i6.529.

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The integration of WhatsApp, a widely-used instant messaging application (IMA), into the realm of orthopaedics and trauma surgery has emerged as a significant development in recent years. This paper explores the multifaceted role of WhatsApp in orthopaedics, focusing on its clinical and non-clinical applications, advantages, disadvantages, and future prospects. The study synthesizes findings from various research papers, emphasizing the growing reliance on mobile technology in healthcare. WhatsApp’s role in orthopaedics is notable for its ease of use, real-time communication, and accessibility. Clinically, it facilitates triage, teleconsultation, diagnosis, treatment, patient advice, and post-operative monitoring. Non-clinically, it supports telemedicine, teleradiology, virtual fracture clinics, research, and education in orthopaedic surgery. The application has proven beneficial in enhancing communication among healthcare teams, providing quick responses, and motivating junior physicians. Its use in educational settings has been shown to improve learner’s understanding and patient care. However, the use of WhatsApp in orthopaedics is not without challenges. Risks include the potential spread of misleading information, privacy concerns, and issues with image quality affecting diagnosis and treatment decisions. The paper acknowledges the importance of maintaining professional boundaries and the need for oversight measures to ensure content accuracy. Looking forward, the potential of WhatsApp and similar IMAs in orthopaedics lies in their ability to streamline data collection and retrieval, improve doctor-patient communication, and address challenges like bureaucratic red tape and limited resources. The paper suggests that future orthopaedic practice, particularly in emergency departments, will increasingly rely on such technologies for efficient patient management. This shift, however, must be approached with an understanding of the ethical, legal, and practical implications of integrating social media and mobile technology in healthcare.
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Kelly, Cambre, and Samuel B. Adams. "3D Printing Materials and Technologies for Orthopaedic Applications." Journal of Orthopaedic Trauma 38, no. 4S (April 2024): S9—S12. http://dx.doi.org/10.1097/bot.0000000000002765.

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Summary: 3D printing technologies have evolved tremendously over the last decade for uses in orthopaedic surgical applications, including being used to manufacture implants for spine, upper extremity, foot and ankle, oncologic, and traumatic reconstructions. Materials used for 3D-printed orthopaedic devices include metals, degradable and nondegradable polymers, and ceramic composites. There are 2 primary advantages for use of 3D printing technologies for orthopaedics: first, the ability to create complex porous lattices that allow for osseointegration and improved implant stability and second, the enablement of complex geometric designs allowing for patient-specific devices based on preoperative imaging. Given continually evolving technology, and the relatively early stage of the materials and 3D printers themselves, the possibilities for continued innovation in orthopaedics are great.
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Caffery, Liam J., Monica Taylor, John B. North, and Anthony C. Smith. "Tele-orthopaedics: A snapshot of services in Australia." Journal of Telemedicine and Telecare 23, no. 10 (September 26, 2017): 835–41. http://dx.doi.org/10.1177/1357633x17732800.

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Health services in the United States and Europe have reported that tele-orthopaedics saves significant patient travel time, reduces time off work, increases satisfaction with care and in some scenarios reduces the cost of care. Less is known about the role of tele-orthopaedics in Australia. The aim of this study was to explore Australian-based tele-orthopaedic services, and to identify the barriers and enablers associated with these services. We used a qualitative case study methodology where specific services were identified from multiple sources and invited to participate in a structured interview. Nine tele-orthopaedic services contributed to the study. Telehealth activity in each service ranged from one to 75 patients per week, and service maturity ranged from three months to 10 years. Services were used predominantly for fracture clinics and peri-operative consultations. The majority (78%) of services used videoconferencing. Two services used asynchronous methods to review radiographs without direct patient involvement. Tele-orthopaedics was found to be disruptive as it required the redesign of many care processes. However, all services found the redesign feasible. Staff resistance was a commonly cited barrier. Further, imaging repositories from multiple imaging providers complicated access to information. Key enablers included clinical champions, picture archiving and communication systems, and the perceived benefit to patients who would avoid the need for travel. Whilst it appears that tele-orthopaedics is not widely utilised in Australia, recognition of the barriers and enablers is important for the development of similar services.
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Johnson, Brian, Rajul Gupta, Bret Betz, Henry Kuechly, Sarah Kurkowski, and Brian Grawe. "Adipose Derived Stem Cells in Orthopaedics: History and Current Applications." Journal of Orthopedics and Orthopedic Surgery 5, no. 2 (April 4, 2024): 1–8. http://dx.doi.org/10.29245/2767-5130/2024/2.1197.

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Context: Some studies have shown promising results with adipose-derived stem cell treatments for orthopaedic problems as a nonsurgical treatment option or an augmentation of surgical treatment. Purpose: Review of the history and background, preparation methods, and current applications of adipose-derived stem cells in orthopedics. Provide critical appraisal of the available evidence for the use of Adipose Derived Stem Cells. Results: Most of the studies utilizing adipose-derived stem cells are case series or meta-analyses with a small number of studies, therefore presenting a risk of selection bias. In cases of femoral head avascular necrosis and meniscal repair, no systematic review or meta-analysis has been published and available evidence is derived from smaller studies. Almost every review article concluded that large, multicenter, randomized control trials are needed to establish the value of adipose-derived stem cells in orthopaedics. Conclusion: There is a need in orthopaedics for treatment modalities that increase biological healing potential for some pathologies and adipose derived stem cells represent a potential modality for such a purpose. However, there is a lack of high quality and robust evidence regarding the efficacy and safety of this treatment modality in orthopaedic applications. The use of adipose derived stem cells in orthopaedics requires additional studies of higher quality before they can be considered an appropriate treatment option. Strength of Recommendation: Level C for use of Adipose-derived stem cells in orthopaedics.
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Samora, Julie Balch, Christen Russo, and Dawn LaPorte. "Ruth Jackson Orthopaedic Society: Promoting Women in Orthopaedics." Journal of the American Academy of Orthopaedic Surgeons 30, no. 8 (December 14, 2021): 364–68. http://dx.doi.org/10.5435/jaaos-d-21-00956.

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22

Criss, Steven D., Shravya Kakulamarri, Raylin F. Xu, Maya Fajardo, Tamra Keeney, Dorothy W. Tolchin, and Collin J. May. "The Healthcare Experience of Autistic Patients in Orthopaedic Surgery and Closely Related Fields: A Scoping Review." Children 10, no. 5 (May 22, 2023): 906. http://dx.doi.org/10.3390/children10050906.

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Orthopaedic and related care has the potential to present unique obstacles for patients with a range of autism manifestations. In this review, we aim to describe and analyze the literature on autistic patients’ experience within orthopaedics and closely related fields. This literature search utilized the PubMed, Embase, and Cumulative Index to Nursing and Allied Health Literature databases. Three major concepts were built into the search terms: (1) patients on the autism spectrum; (2) patient experience; and (3) movement sciences, including orthopaedics, physical medicine and rehabilitation (PM&R), occupational therapy (OT), and physical therapy (PT). Our search yielded 35 topical publications, with the major topic areas addressed as follows: (1) clinical and perioperative management, (2) therapy interventions, (3) participation in exercise and social play, (4) sensory management and accommodations, (5) caregiver/parent training and involvement in care, (6) healthcare needs and barriers to care, and (7) utilization of technology. In the current literature, there are no studies that attempt to directly assess autistic patient experience with care practices and clinical environments in orthopaedics. Rigorous, direct examination of the experience of autistic patients within clinical orthopaedic settings is urgently needed to address this gap.
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Evans, Richard. "Evidence-based orthopaedics or ‘superstition in the pigeon’." Veterinary and Comparative Orthopaedics and Traumatology 22, no. 05 (2009): 346–50. http://dx.doi.org/10.3415/vcot-08-12-0122.

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SummaryPigeon behavioural conditioning methods are similar to the processes that orthopaedic surgeons use to evaluate new surgical procedures. Alternatively, evidence-based orthopaedics is a tool for surgeons to evaluate procedures in a systematic, patient-centred way that is less instinctive than pigeon behaviour. The objective of this article is to describe evidence-based orthopaedics, and then propose changes to surgical culture with the aim of refining the interpretation of the current literature and improving the quality of future research. The proposals are ‘institutional’ changes rather than calls for increased funding and more randomised controlled trials.
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Pelletier, Brittany, and Alex Hoyt. "The Orthopaedic NP Workforce." Orthopaedic Nursing 43, no. 1 (January 2024): 32–40. http://dx.doi.org/10.1097/nor.0000000000001000.

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Although a growing number of nurse practitioners (NPs) are practicing in orthopaedics, little is known about the workforce. The aim of this study was to estimate the size of the orthopaedic NP workforce, compare it with the workforce of primary care NPs, and investigate the interaction effect specialty NP practice and physician relationships have on NP role perception. We selected licensed, practicing orthopaedic and primary care NPs from the 2018 National Sample Survey of Registered Nurses and compared demographics, education, experience, functional autonomy, and job outcomes. Nationally, 2,796 NPs described their specialty as orthopaedics. Compared with primary care NPs, they spent 27% more time on care coordination, were half as likely to have their own patient panel, and were most likely to say that their NP education was fully utilized when in a collaborative relationship with physicians. Differences between orthopaedic and primary care NPs may call for reform of Consensus Model that currently places specialty practice outside its regulatory network.
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Nicum, Arya, Harry Hothi, Johann Henckel, Anna di Laura, Klaus Schlueter-Brust, and Alister Hart. "Characterisation of 3D-printed acetabular hip implants." EFORT Open Reviews 9, no. 9 (September 1, 2024): 862–72. http://dx.doi.org/10.1530/eor-23-0182.

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Three-dimensional printing is a rapidly growing manufacturing method for orthopaedic implants and it is currently thriving in several other engineering industries. It enables the variation of implant design and the construction of complex structures which can be exploited in orthopaedics and other medical sectors. In this review, we develop the vocabulary to characterise 3D printing in orthopaedics from terms defined by industries employing 3D printing, and by fully examining a 3D-printed off-the-shelf acetabular cup (Fig. 1). This is a commonly used 3D-printed implant in orthopaedics, and it exhibits a range of prominent features brought about by 3D printing. The key features and defects of the porous and dense regions of the implant are clarified and discussed in depth to determine reliable definitions and a common understanding of characteristics of 3D printing between engineers and medical experts in orthopaedics. Despite the extensive list of terminology derived here, it is clear significant gaps exist in the knowledge of this field. Therefore, it is necessary for continued investigations of unused implants, but perhaps more significantly, examining those in vivo and retrieved to understand their long-term impact on patients and the effects of certain features (e.g. surface-adhered particles). Analyses of this kind will establish an understanding of 3D printing in orthopaedics and additionally it will help to update the regulatory approach to this new technology.
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26

Stilwell, Jennifer A., Duncan Reid, and Peter Larmer. "Implementation of an orthopaedic triage service for osteoarthritis in the New Zealand health system: A retrospective audit." New Zealand Journal of Physiotherapy 52, no. 1 (March 28, 2024): 26–34. https://doi.org/10.15619/nzjp.v52i1.344.

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Orthopaedic triage services led by advanced physiotherapy practitioners (APPs) have been shown to be effective health care models in the management of osteoarthritis. Despite this, New Zealand health systems have only recently begun to implement and evaluate these models of care. The implementation of the community orthopaedic triage service (COTS) within the Bay of Plenty District Health Board (BOPDHB) was piloted to improve the patient journey through the health system by providing earlier assessment and referral to the most appropriate intervention. This retrospective audit analysed data collected from patients assessed in the COTS and orthopaedic outpatients between September 1 2020 to September 1 2021. Results show the COTS saw 49–52% of the volume of patients referred to orthopaedic outpatients. The mean (SD) wait time to be seen in the COTS was 37.3 (32.8) days compared to 157.7 (56.2) days in orthopaedics. Eighty per cent of patients referred to orthopaedics from the COTS were appropriate for first specialist appointment, with 65% being listed for surgery by an orthopaedic surgeon. Adoption of these pathways has the potential to facilitate earlier assessment and access to intervention, thus improving the musculoskeletal health of New Zealanders.
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27

Choong, Peter FM. "Orthopaedics." Medical Journal of Australia 176, no. 1 (January 2002): 30. http://dx.doi.org/10.5694/j.1326-5377.2002.tb04263.x.

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28

Meyer, Frederick N. "Orthopaedics." Journal of Bone and Joint Surgery-American Volume 85, no. 2 (February 2003): 397–98. http://dx.doi.org/10.2106/00004623-200302000-00042.

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29

Patel, Kuntal J. "Orthopaedics." BMJ 329, no. 7466 (September 11, 2004): s110.2—s110. http://dx.doi.org/10.1136/bmj.329.7466.s110-a.

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30

Cotler, J. "Orthopaedics." Journal of the American College of Surgeons 186, no. 2 (February 1998): 192–95. http://dx.doi.org/10.1016/s1072-7515(98)00004-0.

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31

Sadasivan, Kalia K. "Orthopaedics." Journal of the American College of Surgeons 188, no. 2 (February 1999): 143–46. http://dx.doi.org/10.1016/s1072-7515(98)00280-4.

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32

Ginn, T. Adam. "Orthopaedics." Arthroscopy: The Journal of Arthroscopic & Related Surgery 19, no. 4 (April 2003): 446. http://dx.doi.org/10.1016/s0749-8063(03)70001-2.

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33

Godfrey, D. R. "Orthopaedics." Journal of Small Animal Practice 43, no. 6 (June 2002): 260. http://dx.doi.org/10.1111/j.1748-5827.2002.tb00069.x.

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34

Bird, J. H. "Orthopaedics." Journal of the Royal Army Medical Corps 150, no. 3 (September 1, 2004): 191–99. http://dx.doi.org/10.1136/jramc-150-03-07.

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35

Gates, Sharon J. "Orthopaedics." Orthopaedic Nursing 6, no. 4 (July 1987): 61. http://dx.doi.org/10.1097/00006416-198707000-00023.

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36

Walker, Robert. "ORTHOPAEDICS." Early Years Educator 1, no. 12 (April 2000): 42–43. http://dx.doi.org/10.12968/eyed.2000.1.12.15586.

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Walker, Robert. "Orthopaedics." Early Years Educator 2, no. 3 (July 2000): 44–45. http://dx.doi.org/10.12968/eyed.2000.2.3.15507.

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38

McGuire, Rob. "Orthopaedics." BMJ 334, no. 7599 (April 28, 2007): s155. http://dx.doi.org/10.1136/bmj.334.7599.s155.

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39

Stableforth, P. G. "Orthopaedics." Postgraduate Medical Journal 63, no. 741 (July 1, 1987): 599. http://dx.doi.org/10.1136/pgmj.63.741.599-a.

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40

Connolly, J. F. "Orthopaedics." JAMA: The Journal of the American Medical Association 289, no. 8 (February 26, 2003): 1047—a—1048. http://dx.doi.org/10.1001/jama.289.8.1047b.

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41

&NA;. "Core Knowledge in Orthopaedics-Pediatric Orthopaedics." Journal of Pediatric Orthopaedics 27, no. 5 (July 2007): 602. http://dx.doi.org/10.1097/01.bpb.0000279023.88751.b3.

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42

Fukao, Yu, Etsuo Chosa, Shotaro Nozaki, and Yoshihiro Nakamura. "Attempts to Introduce Damage Control Orthopaedics by Orthopaedists." Orthopedics & Traumatology 58, no. 4 (2009): 590–97. http://dx.doi.org/10.5035/nishiseisai.58.590.

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43

Boyd, Carter J., Ian J McGeary, Kevin Y. Wang, Ivan Z Liu, Joseph X. Robin, and Kshipra Hemal. "Characterizing the effect of the COVID-19 pandemic on the orthopaedic surgery literature." IP Journal of Nutrition, Metabolism and Health Science 6, no. 1 (May 15, 2023): 32–35. http://dx.doi.org/10.18231/j.ijnmhs.2023.006.

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While the novel Coronavirus 2019 disease’s (COVID-19) impact on the practice of orthopaedics has been readily apparent, the effects of COVID-19 on the orthopaedic literature has not been studied. The objective of this paper is to analyze the COVID-19 pandemic’s impact on peer-reviewed articles published in the orthopaedic surgery literature. Using the Journal Citation Reports, twenty orthopaedic surgery journals with the highest impact factor in 2019 were selected and articles within those journals were sorted by mention of COVID-19. The Altmetric Attention Score (AAS) and citation count were collected and compared for COVID-19 versus non-COVID-19 related articles using the Mann-Whitney U test. Furthermore, within COVID-19 related articles, AAS and citation count were compared using Kruskal-Wallis test between sub specialty of orthopaedics, type of article, study type, and quarter of publication. The average AAS of COVID-19 articles was significantly higher than non-COVID articles (15 vs. 6, p=0.019). Within COVID-19 articles, those pertaining to spine and trauma had a significantly lower AAS than those pertaining to orthopaedics as a whole (20 & 6 vs 51, p<0.001). The average number of citations accrued by COVID-19 articles was significantly higher than non-COVID-19 articles (8 vs. 1, p<0.001). Original COVID-19 articles received significantly more citations than editorial articles (10 vs. 5, p<0.001), as well as those published in the second quarter of 2020 compared to those published later (p<0.001). Orthopaedic articles related to COVID-19 demonstrated a greater influence, dissemination, and impact than articles not related to COVID-19 as demonstrated by AAS and citations accrued.
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Umer, Hafiz Muhammad, Hafiz Javaid Iqbal, Mark Webb, and William James Harrison. "Applying changes made during the COVID-19 pandemic to the future: trauma and orthopaedics." British Journal of Healthcare Management 27, no. 4 (April 2, 2021): 1–7. http://dx.doi.org/10.12968/bjhc.2020.0113.

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The NHS has made significant changes to practice and specialty training in trauma and orthopaedics as a result of the COVID-19 pandemic. This article looks at the positive and innovative changes along with lessons learnt, which could affect policies in a new challenging post-pandemic health service. At a national level, Public Health England, the British Orthopaedic Association and the Royal Colleges have issued a number of guidelines, which have evolved throughout the pandemic. Developing resilient rotas, virtual clinics, teleconsultations, webinar-based training and operating theatre reorganisation are just some examples of how collaborative working has led to positive changes, despite the huge challenges and hardships created by COVID-19. As we emerge from this crisis, the field of trauma and orthopaedics will need to prepare for the challenges of patient backlogs, neglected trauma and long waiting lists. A continuation of the innovative and collaborative working seen during the pandemic will be crucial to cope with the post-COVID-19 world of orthopaedics.
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45

Jäger, M., C. Zilkens, K. Zanger, and R. Krauspe. "Significance of Nano- and Microtopography for Cell-Surface Interactions in Orthopaedic Implants." Journal of Biomedicine and Biotechnology 2007 (2007): 1–19. http://dx.doi.org/10.1155/2007/69036.

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Cell-surface interactions play a crucial role for biomaterial application in orthopaedics. It is evident that not only the chemical composition of solid substances influence cellular adherence, migration, proliferation and differentiation but also the surface topography of a biomaterial. The progressive application of nanostructured surfaces in medicine has gained increasing interest to improve the cytocompatibility and osteointegration of orthopaedic implants. Therefore, the understanding of cell-surface interactions is of major interest for these substances. In this review, we elucidate the principle mechanisms of nano- and microscale cell-surface interactions in vitro for different cell types onto typical orthopaedic biomaterials such as titanium (Ti), cobalt-chrome-molybdenum (CoCrMo) alloys, stainless steel (SS), as well as synthetic polymers (UHMWPE, XLPE, PEEK, PLLA). In addition, effects of nano- and microscaled particles and their significance in orthopaedics were reviewed. The significance for the cytocompatibility of nanobiomaterials is discussed critically.
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46

Lindsay, Sarah E., Stephanie Holmes, Jonas Owen, Ishaan Swarup, and Matthew Halsey. "The Pin: An Orthopaedic Transformation." Journal of the Pediatric Orthopaedic Society of North America 4, no. 2 (May 1, 2022): 1–18. http://dx.doi.org/10.55275/jposna-2022-0039.

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The stainless-steel pin has become an important part of operative orthopaedics over the last several decades. It is used in all subspecialties as tool to localize a lesion or to effectuate reduction, as a conduit for implant placement (screw or blade plate), as a guide for making an osteotomy, and as an implant that can stabilize bone whether it is placed in an open or percutaneous manner. While simple and ubiquitous to the craft of orthopaedics, it has revolutionized the care of children with orthopaedic conditions. This review highlights the history and the applications of the simple pin that can assist in obtaining good results in common problems.
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47

Navarro, M., A. Michiardi, O. Castaño, and J. A. Planell. "Biomaterials in orthopaedics." Journal of The Royal Society Interface 5, no. 27 (July 30, 2008): 1137–58. http://dx.doi.org/10.1098/rsif.2008.0151.

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At present, strong requirements in orthopaedics are still to be met, both in bone and joint substitution and in the repair and regeneration of bone defects. In this framework, tremendous advances in the biomaterials field have been made in the last 50 years where materials intended for biomedical purposes have evolved through three different generations, namely first generation (bioinert materials), second generation (bioactive and biodegradable materials) and third generation (materials designed to stimulate specific responses at the molecular level). In this review, the evolution of different metals, ceramics and polymers most commonly used in orthopaedic applications is discussed, as well as the different approaches used to fulfil the challenges faced by this medical field.
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48

Swiontkowski, Marc F. "Outcome Measures in Orthopaedics and Orthopaedic Trauma. 2nd ed." Journal of Bone & Joint Surgery 87, no. 2 (February 2005): 481. http://dx.doi.org/10.2106/00004623-200502000-00053.

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49

Bozic, Kevin J. "Orthopaedic Healthcare Worldwide: Shared Medical Decision Making in Orthopaedics." Clinical Orthopaedics and Related Research 471, no. 5 (May 2013): 1412–14. http://dx.doi.org/10.1007/s11999-013-2838-5.

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50

Camurcu, Y., H. Sofu, H. Ucpunar, S. Duman, and A. Cobden. "Paediatric orthopaedics through paintings." Journal of Children's Orthopaedics 12, no. 6 (December 2018): 647–51. http://dx.doi.org/10.1302/1863-2548.12.180141.

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Purpose Some famous artistic representations created throughout the centuries can reveal a hidden or mysterious diagnosis of some diseases and these paintings have always drawn the attention of physicians interested in art. Artistic illustration of a child with a malformation or disability can reflect the characteristic appearance of a disease and its historic perspective. Some articles have revealed the definite diagnosis of a child with achondroplasia through portraits of dwarfs and some studies have discussed the secret diagnosis of a crippled child with Pes Equinovarus or poliomyelitis. In this study, we aim to introduce some paintings that reveal musculoskeletal diseases related to paediatric orthopaedics. Methods Paintings painted since the Renaissance were reviewed and collected via web searches. Artistic paintings depicting children with suspected paediatric orthopaedic diseases were analyzed in this study. Results Paintings in which artists have depicted children with achondroplasia, poliomyelitis and clubfoot were found. Conclusion The investigation of a drawing depicting a disabled child may encourage an orthopaedic surgeon to introduce an analytical approach using visual cues. These paintings may also enhance the observational skills of paediatric orthopaedic surgeons, give information about the historical process of a disease and demonstrate the impact of the disease at the time the painting was painted.
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