Oregon Orthopedic and Sports Medicine Group News continued...

Video - Euflexxa Knee Injection Procedure

Euflexxa Knee Injection is one of the many services we offer. Watch the video on our Orthopedic Services page, or our new Media page, to learn how this procedure allows patients to return to an active life style without knee pain.

The Latest Hip Replacement Technology featured on KATU

Visit our new Media page for the latest Orthopedic Technology videos and interviews with our Doctors.

Dr. James Ballard voted one of Portland's Top Doctors

Voted one of Portland's Top Doctors, by the local medical community. Published in the January 2011 Portland Monthly Magazine. The Top Doctors of 2011.

Chosen by the local medical community. This year, Portland Monthly combined forces with Castle Connolly Medical Ltd, an independent medical researcher, to survey a total of 5,501 licensed doctors in the tricounty area and southwestern Washington, inviting them each to nominate up to 25 outstanding doctors in the region in 59 specialties. These results were combined with Castle Connolly’s extensive nationwide survey.The doctors included in Castle Connolly's Top Doctor listings were selected after peer nomination, extensive research and careful review and screening by a doctor-directed research team.

New Orthopedics Magazine Article co-authored by Dr. Feinblatt

Although much has been written on the evaluation and management of pelvic ring injuries, only a single case of anterior sacroiliac joint dislocation exists in the literature and was reported in 1976. This article describes 2 additional cases, 1 of a pure anterior sacroiliac dislocation in a 25-year-old man, and 1 of an anterior sacroiliac fracture-dislocation in an 18-year-old man, each treated by a different orthopedic traumatologist at neighboring trauma centers. Both cases were the result of high-energy trauma, and both patients had significant complications resulting from severity of their injuries, including wound dehiscence and causalgia in 1 case and persistent L5-S1 paresthesias and paresis in the other.

Closed reduction can be attempted, but in our experience was unsuccessful even with the use of external fixation pins for leverage. We recommend open reduction by an orthopedic traumatologist who will perform definitive fixation. The decision to use an anterior external fixation frame to assist during the patient's resuscitation should be based on the patient's hemodynamic status and concomitant injuries. Despite a high complication rate, operative intervention can return patients to a functional level with minimal residual pain.

Full article available on line at www.OrthoSuperSite.com/view.aspx?rID=77618

Gala at the Falls raises $140,000 for free health clinic

Access to health care in our community just received a helping hand. More than 220 friends of Providence Willamette Falls Medical Center gathered Oct. 16 for the ninth annual Gala at the Falls benefit dinner and auction, generously raising start-up funds for a free community health care clinic. Net proceeds in excess of $140,000 were raised.  Central to the live auction portion of the evening was the special appeal.  Emcee and KATU weatherman Dave Salesky interviewed Frances Knight and Oregon Orthopedic & Sports Medicine Clinic’s own Dr. Terry Sedgewick regarding Ms. Knight’s recent experience as an uninsured patient.  The special appeal raised $30,850.

Ambulatory Surgery Center

In partnership with other surgical specialist in ENT, General surgery, and Neurosurgery, Oregon Orthopedic & Sports Medicine is excited to announce a new ambulatory surgery center opening later this year. We will continue to provide inpatient and outpatient services at Providence Willamette Falls Medical Center and Legacy Meridian Park with offices located on both campuses. More details to be announced soon.

KOIN 6 interview with Dr. James C. Ballard.

Please visit our new Media page to view our videos and TV interviews.

Orthopedics Magazine Article co-authored by Dr. Feinblatt

The goal of this study was to determine whether a difference in cycles to failure or mode of failure would be observed among specimens of 3 high-strength suture materials, and whether different suture configurations would affect knot security. Ten representative specimens of Ethibond (Ethicon, Inc, Somerville, New Jersey), FiberWire (Arthrex, Inc, Naples, Florida), MaxBraid (Biomet, Inc, Warsaw, Indiana), and Orthocord DePuy Orthopaedics, Warsaw, Indiana) were tied in 6 different knot configurations commonly used in orthopedic procedures. Each specimen was cyclically loaded be-tween 9 and 180 N at a rate of 1 Hz until the specimen failed or reached a maximum of 3500 cycles. Each suture material was subjected to tensile loading until failure at a rate of 1.25 mm/s. The 3 most secure knots all included the 3 reverse haIr-hitch on alternating posts (3-RHAP) configuration. All specimens tied with these 3 knot types failed by suture rupture. All knots using the overhand with 3 of the same half-hitches on the same post (O-3SHSP) configuration failed by knot slippage regardless of suture material. When the 3 strongest knots were combined, FiberWire resisted a significantly greater number of fatigue cycles than Orthocord or MaxBraid. In the single load to failure tests, Orthocord, FiberWire, and MaxBraid all had significantly higher ultimate strength than Ethibond.

Knots using the 3-RHAP configuration provide security superior to that of those with-out this configuration. All 3 high-strength sutures tested outperformed Elhibond in single load to failure testing, with FiberWirc resisting the greatest number of cycles. Postoperative strength and reliability of a soft tissue repair is inherently dependent on the properties of the suture materials used.

Full article available on line at www.OrthoSuperSite.com/view.aspx?rID=67571

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MISSION STATEMENT
"Our physicians and staff strive to provide
the highest quality of orthopedic care to the
satisfaction of our patients"