Discordance between surgeon opinion and institutional policy on explant handling after hardware removal.

Objectives: Hardware removal is a common procedure performed by orthopaedic surgeons, yet there is not a consensus on the disposition of explanted hardware. There seems to be increasing discordance between institutional policy and surgeon or patient preference. The purpose of this study was to gain insight on hardware removal polices across North America and determine surgeons' opinions regarding the return of orthopedic fixation devices to patients and if these opinions are related to surgeon-specific demographic factors.

Combined Semitendinosus and Humeral Allograft in the Reconstruction of a Failed Proximal Clavicle Resection: A Case Report.

Case: A 66-year-old woman, former bodybuilder with right sternoclavicular (SC) arthritis managed with a 4-cm proximal clavicle (PC) resection, that led to scapulothoracic abnormal mobility (STAM), severe loss of shoulder function, and pain. A novel reconstruction involving a humeral allograft with a semitendinosus allograft for SC stabilization was performed. A 3-year follow-up is presented with satisfactory outcome.

Preservation versus Sacrifice of the Supraclavicular Nerves during Clavicle ORIF: A Randomized Controlled Trial.

Objectives: To discover postoperative symptom differences between nerve-sparing and nerve-sacrificing techniques during ORIF of clavicle fractures.

Methods: Design: Prospective, partially blinded randomized controlled trial.

Setting: Single academic Level I Trauma Center.

A facility for magnetic resonance-guided radiation therapy.

Magnetic resonance (MR) imaging is routinely employed in the design of radiotherapy (RT) treatment plans for many disease sites. It is evident that tighter integration of MR imaging into the RT process would increase confidence in dose placement and facilitate the integration of new MR imaging information (including anatomical and functional imaging) into the therapy process. To this end, a dedicated MR-guided RT (MRgRT) facility has been created that integrates a state-of-the-art linear accelerator delivery system, high-dose rate brachytherapy afterloader, and superconducting MR scanner to allow MR-based online treatment guidance, adaptive replanning, and response monitoring while maintaining the clinical functionality of the existing delivery systems.