The patient A 7-year-old male riding on a tractor with his father suffered a a crush injury to his left ring finger. The two were starting to ascend a hill when the boy’s finger became caught between the tractor and the trailing bushhog. The challenge All parts of the finger had been crushed, including the…
Norton Healthcare has been named the first Advanced Orthopedic & Spine Center of Excellence in the country by DNV, a national accrediting body. This designation is given to organizations that demonstrate excellence in diagnostic services, surgical services and therapies related to orthopedic and spine care. To receive the Advanced Orthopedic & Spine Center of Excellence…
When a fall off the monkey bars leaves a 10-year-old with a distal radius fracture that heals incorrectly, or a 12-year-old gymnast lands wrong and the bone remodeling results in limited range of motion, the bone needs to be surgically rebroken. Malunion osteotomy surgery, a technically challenging procedure, now can be more precise and predictable…
Most hip replacements performed by Norton Orthopedic Institute are now outpatient. The patients like it because they get to sleep in their own bed, and their recovery and outcomes are at least as good as when they spent a night in the hospital. The change has been the result of a lot of small tweaks…
The patient A 25-year-old woman presented with recurrent left second metacarpal giant cell tumor of bone. She previously was treated with extensive curettage, bone graft substitute placement and Kirschner wire fixation. Giant cell tumor of bone is a benign aggressive tumor with a high rate of local recurrence and development of lung metastases in approximately…
Sports overuse injuries in children have become quite common as the pressure for students to complete in year-round sports, such as travel and tournament teams, has increased over time. “Being active and participating in sports is a good thing for kids,” said James E. Moyer, M.D., pediatric orthopedic specialist with Norton Children’s Orthopedics of Louisville,…
When a child who plays sports is limping, it’s often the result of a sprain or an overuse injury, but there are more serious injuries and conditions a clinician should consider. “In many cases there is at least some trauma, whether you just stubbed your toe or broke your ankle, so trauma — especially in…
Black people are nearly 3 times more likely to die of pregnancy-related complications than white people, and the alarming rate of maternal mortality and the racial gap in pregnancy loss and pregnancy-related deaths are nationwide public health concerns. The latest data from the Centers for Disease Control and Prevention (CDC) on maternal mortality rates shows…
Cyna Khalily, M.D., orthopedic surgeon and medical director for adult reconstructive/joint replacement at Norton Orthopedic Institute, has completed his 100th cementless press-fit knee replacement using an implant with an advanced, porous titanium stem designed to fit immediately and encourage stronger bone growth to hold it in place. Dr. Khalily, who has been performing cementless knee…
The patient A 14-month-old female presented to the emergency department with fever and refusal to bear weight. She had bilateral ear tube insertion 13 days previously and presented to her primary care provider (PCP) three days prior for a viral respiratory infection. She presented to her PCP the day before her admission for refusal to…
New osteoarthritis treatment guidelines for hip and knee cite strong evidence for the benefits of exercise and physical therapy. Moderate evidence also supports weight loss for knee pain, though the same evidence doesn’t exist for hip pain, based on the new guidance from the American Academy of Orthopaedic Surgeons (AAOS). “Even in patients with symptomatic…
Anterior cruciate ligament (ACL) injuries have been increasing in incidence, especially in younger populations with open physes. Techniques to return mechanical integrity to the knee while protecting the physis are key to treatment in this population. The physis is a complex structure at the end of long bones that allows for both longitudinal and appositional…