Orthopaedic Surgeon Articles

The latest Orthopaedic Surgeon Articles by Dr. Robert J. Gillespie & Associates:

Knee Research: Gender differences in the anatomy of the distal femur

Posted on 3:05 pm in Knee

R. J. Gillespie, A. Levine, S. J. Fitzgerald, J. Kolaczko, M. DeMaio, R. E. Marcus, D. R. Cooperman From University Hospitals Case Medical Centre, Ohio, United States Download PDF version Recently, gender-specific designs of total knee replacement have been developed to accommodate anatomical differences between males and females. We examined a group of male and female distal femora matched for age and height, to determine if there was a difference in the aspect ratio (mediolateral distance versus anteroposterior distance) and the height of...

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Neer Award 2015: A randomized, prospective evaluation on the effectiveness of tranexamic acid in reducing blood loss after total shoulder arthroplasty

Posted on 2:47 pm in Articles

Robert Gillespie, MDa, Yousef Shishani, MDb, Sheeba Joseph, MDa, Jonathan J. Streit, MDa, Reuben Gobezie, MDb,* aDepartment of Orthopaedic Surgery, University Hospitals Case Medical Center, Cleveland, OH, USA bThe Cleveland Shoulder Institute, University Hospitals of Cleveland, Beachwood, OH, USA Downlaod PDF Version Background: Tranexamic acid (TXA) is an antifibrinolytic agent that has been shown to significantly reduce blood loss and transfusion requirements after total knee and hip arthroplasty. The purpose of this study was to evaluate...

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Biologic and Synthetic Grafts in the Reconstruction of Large to Massive Rotator Cuff Tears

Posted on 8:03 pm in Articles

Robert J. Gillespie, M.D., Derrick M. Knapik, M.D., Ozan Akkus, PhD Abstract Rotator cuff injuries are common in both young and elderly patients. Despite improvements in instrumentation and surgical techniques, the failure rates following tendon reconstruction remain unacceptably high. To improve outcomes, graft patches have been developed to provide mechanical strength and to furnish a scaffold for biologic growth across the delicate tendon-bone junction. Although no patch effectively re-creates the structured, highly organized system of...

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Cost Analysis of Hemiarthroplasty Versus Reverse Shoulder Arthroplasty for Fractures

Posted on 7:02 pm in Articles

Jason A. Solomon, MD; Sheeba M. Joseph, MD, MS; Yousef Shishani, MD; Brian N. Victoroff, MD; John H. Wilber, MD; Reuben Gobezie, MD; Robert J. Gillespie, MD Abstract View / Download, PDF Version of this Article Complex proximal humerus fractures in older patients can be treated with hemiarthroplasty (HA) or reverse shoulder arthroplasty (RSA), with both providing good pain relief and function. This study compared the costs, complications, and outcomes of HA vs RSA after proximal humerus fracture in older patients. Patients 65 years or older...

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The Safety of Controlled Hypotension for Shoulder Arthroscopy in the Beach-Chair Position

Posted on 1:48 pm in Articles

Robert Gillespie, MD, Yousef Shishani, MD, Jonathan Streit, MD, J.P. Wanner, BS, Christopher McCrum, BS, Tanvir Syed, MD, Adam Haas, MD, and Reuben Gobezie, MD Investigation performed at the Case Shoulder and Elbow Service, Case Western Reserve University School of Medicine, Cleveland, Ohio Background: The safety of controlled hypotension during arthroscopic shoulder procedures with the patient in the beach-chair position is controversial. Current practice for the management of intraoperative blood pressure is derived from expert opinion...

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Antibiotic-loaded bone cement reduces deep infection rates for primary reverse total shoulder arthroplasty

Posted on 8:53 pm in Articles

A retrospective, cohort study of 501 shoulders Robert J. Nowinski, DOa,*, Robert J. Gillespie, MDb, Yousef Shishani, MDb, Brian Cohen, MDc, Gilles Walch, MDd, Reuben Gobezie, MDb Orthopaedic and Neurological Consultants, Inc., New Albany, OH, USA Department of Orthopaedic Surgery, Case Western Reserve University Hospitals, Cleveland, OH, USA Department of Orthopaedic Surgery, Adena Medical Center, Chillicothe, OH, USA Department of Orthopaedic Surgery, Centre Orthop edique Santy, Lyon, France Background: Deep infection after primary reverse...

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