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
    ​ green

Publications in this journal

  • Orthopedic Clinics of North America 08/2015; DOI:10.1016/j.ocl.2015.06.012
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    ABSTRACT: Tibial plateau fractures present in a wide spectrum of injury severity and pattern, each requiring a different approach and strategy to achieve good clinical outcomes. Achieving those outcomes starts with a thorough evaluation and preoperative planning period, which leads to choosing the most appropriate surgical approach and fixation strategy. Through a case-based approach, this article presents the necessary pearls, techniques, and strategies to maximize outcomes and minimize complications for some of the more commonly presenting plateau fracture patterns. Copyright © 2015 Elsevier Inc. All rights reserved.
    Orthopedic Clinics of North America 03/2015; 46(3). DOI:10.1016/j.ocl.2015.02.005
  • Orthopedic Clinics of North America 10/2014; 45(4):XV-XV. DOI:10.1016/j.ocl.2014.07.002
  • Orthopedic Clinics of North America 07/2014; 45(3):XXIII-XXIII. DOI:10.1016/j.ocl.2014.04.008
  • Orthopedic Clinics of North America 01/2014; 45(1):121–128.
  • Orthopedic Clinics of North America 01/2014; 45(1):33–45.
  • Orthopedic Clinics of North America 01/2014; 45(1):55–63.
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    ABSTRACT: We initially review the general biomechanical principles that should be considered in surgical reconstruction of spinal tumors. This will be further clarified by more detailed descriptions for individual spinal regions in the subsequent part of the article. In the case of patients with spinal metastases, especially in patients with a median survival time less than a few months, a thorough review of the risks and benefits regarding surgical intervention must be discussed with the patient. However, once the decision for surgery has been made, a biomechanically sound reconstruction should be performed to help restore or maintain the patient's mobility.
    Orthopedic Clinics of North America 02/2009; 40(1):65-74, vi. DOI:10.1016/j.ocl.2008.09.005
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    ABSTRACT: As survival time increases for many cancers, it is likely that the incidence and prevalence of spinal metastases will increase also. Given that most patients first present with solitary lesions in the spine, proper initial diagnosis and management are of paramount importance in minimizing pain, improving neurologic function, and potentially lengthening survival. Although pain control and standard radiation are still used, spinal stereotactic radiosurgery, vertebroplasty and kyphoplasty, and spinal cord decompression and fusion are now consistently used in aggressive management and offer exciting preliminary results.
    Orthopedic Clinics of North America 02/2009; 40(1):145-54, viii. DOI:10.1016/j.ocl.2008.09.003
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    ABSTRACT: More than one-third of patients with cancer have vertebral metastases found at autopsy. Primary and metastatic tumors to the spinal column can lead to pain, instability, and neurologic deficit. Symptomatic lesions are most prevalent in the thoracic spine (70%), followed by the lumbar spine (20%) and cervical spine (10%). Lesions in larger vertebral bodies tend to be asymptomatic given the increased ratio between the diameter of the spinal canal and the traversing nerve roots.
    Orthopedic Clinics of North America 02/2009; 40(1):93-104, vii. DOI:10.1016/j.ocl.2008.09.011
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    ABSTRACT: Persistent axial pain with or without neurologic changes should prompt workup for a possible tumor of the spine. Metastatic disease is more predominant than primary tumors, but still needs adequate evaluation before any management. The various steps of evaluation, diagnosis, and staging are reviewed.
    Orthopedic Clinics of North America 02/2009; 40(1):1-7, v. DOI:10.1016/j.ocl.2008.10.001
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    ABSTRACT: Radiotherapeutic management of vertebral metastases varies based on the extent of disease within the spine and systemically, the histology of the tumor, and the life expectancy of the patient. The goals of pain reduction, structural stability of the axial skeleton, and maintenance of local control for the remainder of the patient's life guide the decision to proceed with a short simple course of standard therapy or a more complex approach with stereotactic regimens. The complex and rigorous processes involved in stereotactic radiotherapy for the spine require close cooperation among the radiation oncologist, neurosurgeon, orthopedic surgeon, and medical oncologist, but the clinical results show that the result is an enhanced quality of life for the patient.
    Orthopedic Clinics of North America 02/2009; 40(1):133-44, vii. DOI:10.1016/j.ocl.2008.09.001
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    ABSTRACT: In most patients who have spinal metastases, treatment is mainly palliative. The conventional surgical methods carry higher risks of complications and postoperative morbidity. Minimally invasive spinal interventions seem to be reasonable alternatives to treat spinal metastatic disease. These procedures can result in less soft tissue trauma, lower blood loss, shorter hospitalization time and are better tolerated by the patients. In this review, the techniques and results of minimally invasive management in spinal metastasis, including percutaneous image-guided interventions (vertebroplasty, kyphoplasty, and radiofrequency ablation) and minimally invasive surgical techniques (endoscopic and minimal access operations), are presented.
    Orthopedic Clinics of North America 02/2009; 40(1):155-68, viii. DOI:10.1016/j.ocl.2008.09.006
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    ABSTRACT: Since the first pioneering work in the area of tumors of the spine, medical professionals have sought to determine the proper role of spine surgery in the management of spinal tumors. Experience has proven that spine surgery is effective in the treatment of spinal cord compression for decreasing pain and improving quality of life with low rates of surgical complications. We use several staging systems to assess the patient's prognosis, to determine the best type of tumoral resection in preoperative surgical planning, and to provide guidance as to the best therapeutic option for the patient. In the surgical treatment of spine tumors, one of two opposing strategies must be chosen: (1) palliative surgery with cord decompression and spine stabilization or (2) curative surgery with en bloc radical resection of the tumor and stabilization. In this article, we describe indications and surgical techniques related to cervical spinal tumors: fixation and laminectomy of the upper and lower cervical spines, corporectomy, and partial and total vertebrectomy. For tumors of the cervicothoracic region, the most frequent level of spine metastasis and thoracic spine tumors, we describe the fixation and laminectomy technique, en bloc tumor resection, and partial and total vertebrectomy. The last part of the article addresses outcomes following spinal surgery, including outcomes related to en bloc Pancoast Tobias tumor resection, malignant dumbbell schwanomas, and metastasis.
    Orthopedic Clinics of North America 02/2009; 40(1):75-92, vi-vii. DOI:10.1016/j.ocl.2008.09.008
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    ABSTRACT: The authors' group has developed a new surgical technique of spondylectomy (vertebrectomy) called "total en bloc spondylectomy" (TES). This technique is different from spondylectomy in that it involves en bloc removal of the lesion, that is, removal of the whole vertebra, body and lamina, as one compartment. The surgical technique of TES has been remarkably improved based on adequate knowledge and consideration of the surgical anatomy, physiology, and biomechanics of the spine and spinal cord. Review of the developmental process of this operation leads to recognition of the tips, pitfalls, and solutions.
    Orthopedic Clinics of North America 02/2009; 40(1):47-63, vi. DOI:10.1016/j.ocl.2008.09.004
  • Orthopedic Clinics of North America 02/2009; 40(1):xi. DOI:10.1016/j.ocl.2008.10.003
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    ABSTRACT: In the treatment of primary tumors, complete local eradication is the main goal, as an oncologically appropriate surgical treatment can substantially improve the prognosis and even be considered a life-saving procedure. In deciding the best treatment for primary bone tumors of the spine, the choice of surgery, radiation therapy, chemotherapy, selective arterial embolization, or other medical treatments alone or in combination is based on diagnosis, staging, and a deep understanding of the biology and the behavior of each tumor. This article is a guide to diagnosing and treating such rare tumors.
    Orthopedic Clinics of North America 02/2009; 40(1):9-19, v. DOI:10.1016/j.ocl.2008.09.009