Orthopedic Clinics of North America (ORTHOP CLIN N AM)

Publisher: WB Saunders

Journal description

Comprehensive, state-of-the-art reviews by experts in the field provide current, practical information on the diagnosis and treatment of conditions affecting the musculoskeletal system. Each issue of Orthopedic Clinics of North America focuses on a single topic relevant to your orthopedic surgery practice, from low back pain to minimally invasive joint reconstruction.

Current impact factor: 1.25

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 1.252
2013 Impact Factor 1.696
2010 Impact Factor 1.398
2009 Impact Factor 1.245
2008 Impact Factor 1.431
2007 Impact Factor 1.692
2006 Impact Factor 2.5
2005 Impact Factor 1.707
2004 Impact Factor 0.95
2003 Impact Factor 0.907
2002 Impact Factor 0.989
2001 Impact Factor 1.206
2000 Impact Factor 0.874
1999 Impact Factor 0.935
1998 Impact Factor 1.145
1997 Impact Factor 0.63

Impact factor over time

Impact factor

Additional details

5-year impact 1.86
Cited half-life >10.0
Immediacy index 0.13
Eigenfactor 0.00
Article influence 0.64
Website Orthopedic Clinics of North America website
Other titles The Orthopedic clinics of North America, Orthopedic clinics
ISSN 0030-5898
OCLC 1761532
Material type Series, Internet resource
Document type Journal / Magazine / Newspaper, Internet Resource

Publisher details

WB Saunders

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Pre-print allowed on any website or open access repository
    • Voluntary deposit by author of authors post-print allowed on institutions open scholarly website including Institutional Repository, without embargo, where there is not a policy or mandate
    • Deposit due to Funding Body, Institutional and Governmental policy or mandate only allowed where separate agreement between repository and the publisher exists.
    • Permitted deposit due to Funding Body, Institutional and Governmental policy or mandate, may be required to comply with embargo periods of 12 months to 48 months
    • Set statement to accompany deposit
    • Published source must be acknowledged
    • Must link to journal home page or articles' DOI
    • Publisher's version/PDF cannot be used
    • Articles in some journals can be made Open Access on payment of additional charge
    • NIH Authors articles will be submitted to PubMed Central after 12 months
    • Authors who are required to deposit in subject-based repositories may also use Sponsorship Option
    • Publisher last reviewed on 03/07/2015
    • 'WB Saunders' is an imprint of 'Elsevier'
  • Classification

Publications in this journal

  • Orthopedic Clinics of North America 01/2016; 47(1):227-233. DOI:10.1016/j.ocl.2015.08.002
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    ABSTRACT: Limb preservation surgery has gained acceptance as a viable alternative to amputation for the treatment of extremity bone tumors in the growing child. There are several options for reconstructing the potential loss of a physis and the defect created by tumor excision. Metallic endoprosthesis, massive allograft, and allograft-prosthesis composites have been described in the skeletally immature population. With the development of expandable prostheses, even those far from skeletal maturity may be candidates for limb salvage. However, improvements in the literature are needed, including reporting surgical and functional outcomes in a rigorous manner, specific to age, anatomic location, and reconstruction.
    Orthopedic Clinics of North America 01/2016; 47(1):265-281. DOI:10.1016/j.ocl.2015.08.027
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    ABSTRACT: Prosthetic joint infection (PJI) is a challenging complication following total hip arthroplasty (THA). Two-stage exchange arthroplasty is preferred for treating chronic PJI of THA, although specialized centers have reported comparable outcomes with protocol-based, 1-stage exchange arthroplasty. A main requirement is presurgical determination of the infecting organism's sensitivity. The therapeutic goal is control of the infection and maintenance of joint function. It offers advantages, including a single operative procedure, fewer antibiotics, and reduced hospitalization time and relative overall costs.
    Orthopedic Clinics of North America 01/2016; 47(1):11-18. DOI:10.1016/j.ocl.2015.08.004
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    ABSTRACT: Physicians who specialize in pediatric orthopedics and hand surgery frequently encounter congenital hand abnormalities, despite their relative rarity. The treating physician should be aware of the associated syndromes and malformations that may, in some cases, be fatal if not recognized and treated appropriately. Although these congenital disorders have a wide variability, their treatment principles are similar in that the physician should promote functional use and cosmesis for the hand. This article discusses syndactyly, preaxial polydactyly and post-axial polydactyly, and the hypoplastic thumb.
    Orthopedic Clinics of North America 01/2016; 47(1):153-168. DOI:10.1016/j.ocl.2015.08.015

  • Orthopedic Clinics of North America 01/2016; 47(1):219-226. DOI:10.1016/j.ocl.2015.08.019
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    ABSTRACT: Osteosarcoma is the most common primary bone malignancy in children. Treatment has evolved to include systemic chemotherapy and local control surgery. Although survival improved initially in a drastic fashion with this approach, recent decades have seen little to no further gains in this area. Limb salvage surgery evolved with effective chemotherapy and advances in imaging, and continues to improve in the recent era. This article serves as a review of survival in high-grade osteosarcoma: prognostic factors, advances in chemotherapy and surgery, late effects of chemotherapy and surgery in survivors, and future directions.
    Orthopedic Clinics of North America 01/2016; 47(1):283-292. DOI:10.1016/j.ocl.2015.08.022
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    ABSTRACT: Surgical Implant Generation Network (SIGN) was founded 15 years ago to create equality of fracture care throughout the world. This is done by education and supply of the appropriate implants and instruments to implement the education. SIGN implants have been used in 150,000 long bone fractures in developing countries. The same implants and instruments are used to provide intramedullary nail interlocking screw fixation in the tibia, femur, and humerus. The design of SIGN implants and the surgical technique are described.
    Orthopedic Clinics of North America 01/2016; 47(1):57-66. DOI:10.1016/j.ocl.2015.08.008
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    ABSTRACT: An evidence-based description of aseptic tibial and femoral diaphyseal nonunions without segmental defects is based on a systematic search of MEDLINE. Aseptic nonunion of the femoral or tibial diaphysis without segmental defects and with an in situ nail, treated with reamed exchange nailing or augmentative plating and bone grafting, has consistently high union rates. Aseptic nonunion without segmental defects and with in situ plate and screw fixation is best managed with revision plate and screw fixation and autogenous bone graft. Various techniques and methods of biological stimulation have relatively high union rates.
    Orthopedic Clinics of North America 01/2016; 47(1):67-75. DOI:10.1016/j.ocl.2015.08.009

  • Orthopedic Clinics of North America 01/2016; 47(1):xxiii. DOI:10.1016/j.ocl.2015.10.006

  • Orthopedic Clinics of North America 01/2016; 47(1):245-251. DOI:10.1016/j.ocl.2015.08.021

  • Orthopedic Clinics of North America 01/2016; 47(1):169-177. DOI:10.1016/j.ocl.2015.08.017
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    ABSTRACT: Concurrent spine and hip disease is common. Spinal deformities can restrict lumbar range of motion and lumbar lordosis, leading to pelvic obliquity and increased pelvic tilt. A comprehensive preoperative workup and component templating ensure appropriate compensation for altered pelvic parameters for implantation of components according to functional positioning. Pelvic obliquity from scoliosis must be measured to calculate appropriate leg length. Cup positioning should be templated on standing radiograph to limit impingement from cup malposition. In spinal deformity, the optimal position of the cup that accommodates pelvic parameters and limits impingement may lie outside the classic parameters of the safe zone.
    Orthopedic Clinics of North America 01/2016; 47(1):19-28. DOI:10.1016/j.ocl.2015.08.005
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    ABSTRACT: Distal radius fractures are currently among the most common fractures of the musculoskeletal system. With a population that is living longer, being more active, and the increasing incidence of osteoporosis, these injuries will continue to become increasingly prevalent. When operative fixation is indicated, the volar locking plate has recently become the treatment of choice. However, despite its success, suboptimal position of the volar locking plate can still result in radiographic loss of reduction. The distal dorsal cortical distance is being introduced as an intraoperative radiographic tool to help optimize plate position and minimize late loss of fracture reduction.
    Orthopedic Clinics of North America 01/2016; 47(1):235-244. DOI:10.1016/j.ocl.2015.08.020
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    ABSTRACT: In the surgical management of solid tumors, adequacy of tumor resection has implications for local recurrence and survival. The standard method of intraoperative identification of tumor margin is frozen section pathologic analysis, which is time-consuming with potential for sampling error. Intraoperative tumor visualization has the potential to significantly improve surgical cancer care across disciplines, by guiding accuracy of biopsies, increasing adequacy of resections, directing adjuvant therapy, and even providing diagnostic information. We provide an outline of various methods of intraoperative tumor visualization developed to aid in the real-time assessment of tumor extent and adequacy of resection.
    Orthopedic Clinics of North America 01/2016; 47(1):253-264. DOI:10.1016/j.ocl.2015.08.023
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    ABSTRACT: The diagnosis of periprosthetic joint infection (PJI) has been performed by obtaining a history and physical examination, blood tests, and analysis of the synovial fluid and tissue samples. The measurement of serum biomarkers are routinely used to diagnose PJI. These markers may be elevated in other inflammatory conditions, necessitating the need for more specific biomarkers to diagnose PJI. Serum biomarkers may be more specific to PJI. Synovial CRP, α-defensin, human β-defensin-2 and -3, leukocyte esterase, and cathelicidin LL-37 biomarkers hold promise for the diagnosis of PJI.
    Orthopedic Clinics of North America 01/2016; 47(1):1-9. DOI:10.1016/j.ocl.2015.08.003
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    ABSTRACT: Morel-Lavallée lesions are closed degloving injuries sustained during violent soft tissue shear that separate the subdermal fat from its strong underlying fascia. Lesions most often occur in the peritrochanteric region, and patients may have concomitant polytrauma. As a result, a hematoma develops that has a high rate of acute bacterial colonization and chronic recurrence. Conservative treatment outcomes are best for those managed acutely. However, diagnosis is often delayed or missed. Furthermore, there is no universally accepted treatment algorithm. Diagnosis and treatment depend on a surgeon's thorough understanding of the cause, pathophysiology, imaging characteristics, and treatment options of Morel-Lavallée lesions.
    Orthopedic Clinics of North America 01/2016; 47(1):115-125. DOI:10.1016/j.ocl.2015.08.012
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    ABSTRACT: Traumatic upper extremity amputation is a life-altering event, and recovery of function depends on proper surgical management and postoperative rehabilitation. Many injuries require revision amputation and postoperative prosthesis fitting. Care should be taken to preserve maximal length of the limb and motion of the remaining joints. Skin grafting or free tissue transfer may be necessary for coverage to allow preservation of length. Early prosthetic fitting within 30 days of surgery should be performed so the amputee can start rehabilitation while the wound is healing and the stump is maturing. Multidisciplinary care is essential for the overall care of the patient following a traumatic amputation of the upper limb.
    Orthopedic Clinics of North America 01/2016; 47(1):127-136. DOI:10.1016/j.ocl.2015.08.013
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    ABSTRACT: Surgical treatment of periarticular and intra-articular fractures of the distal femur pose a significant challenge to the orthopedic surgeon. The primary goal of surgical treatment remains: restoration of the articular surface to the femoral shaft, while maintaining enough stability and alignment to enable early range of motion and rehabilitation. With appropriate surgical planning, these injuries can be managed with a variety of methods and techniques, while taking into account patients' functional goals, fracture characteristics, health comorbidities, bone quality, and risk of malunion and nonunion.
    Orthopedic Clinics of North America 01/2016; 47(1):85-96. DOI:10.1016/j.ocl.2015.08.011
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    ABSTRACT: There is significant heterogeneity in the literature related to the causes and treatment of patellar instability. To address the multifactorial issue of patellar instability, the first task is to classify the instability pattern. Once a classification system is developed, future studies can differentiate between treatment recommendations and outcomes for each instability pattern. Existing classification systems do not include the entire spectrum of patellar instability patterns. The aim of this article is to review the nomenclature and existing patellar instability classification systems and analyze the different patterns into a comprehensive system.
    Orthopedic Clinics of North America 01/2016; 47(1):145-152. DOI:10.1016/j.ocl.2015.08.016
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    ABSTRACT: The patella plays a crucial role in the extensor mechanism to increase the mechanical advantage of the quadriceps. Fractures can be classified based on displacement, comminution, and fracture pattern, which often guide treatment. Modern treatment options include internal fixation using tension bands with Kirschner wires or cannulated screws, lag screw fixation, partial patellectomy, and rarely total patellectomy. Nondisplaced, closed patellar fractures or fractures with less than 2-mm articular steps can be successfully treated conservatively. Open fractures, articular step of 2 mm or greater, and loss of knee extension are indications for surgical intervention.
    Orthopedic Clinics of North America 01/2016; 47(1):77-83. DOI:10.1016/j.ocl.2015.08.010