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Structural validation of the Manchester-Oxford Foot Questionnaire for use in foot and ankle surgery. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Richard Goodall, Kim Borsky, Conrad J Harrison, Matt Welck, Karan Malhotra, Jeremy N Rodrigues
The Manchester-Oxford Foot Questionnaire (MOxFQ) is an anatomically specific patient-reported outcome measure (PROM) currently used to assess a wide variety of foot and ankle pathology. It consists of 16 items across three subscales measuring distinct but related traits: walking/standing ability, pain, and social interaction. It is the most used foot and ankle PROM in the UK. Initial MOxFQ validation
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Future research priorities for soft-tissue knee injuries. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Humza T Osmani, Nicolas Nicolaou, Sanjeev Anand, Jonathan Gower, , Andrew Metcalfe, Stephen McDonnell, Faraz Siddiqui, Hayley Carter, Jonathan Room, Helen Kirbyshire, Liz Hay, Sarah Iqbal, Sushilla Gerleman
To identify unanswered questions about the prevention, diagnosis, treatment, and rehabilitation and delivery of care of first-time soft-tissue knee injuries (ligament injuries, patella dislocations, meniscal injuries, and articular cartilage) in children (aged 12 years and older) and adults.
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Monobloc dual-mobility acetabular component versus a standard single-mobility acetabular component. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Sébastien Lustig, Matthieu Cotte, Constant Foissey, Rhody D Asirvatham, Elvire Servien, Cecile Batailler
The benefit of a dual-mobility acetabular component (DMC) for primary total hip arthroplasties (THAs) is controversial. This study aimed to compare the dislocation and complication rates when using a DMC compared to single-mobility (SM) acetabular component in primary elective THA using data collected at a single centre, and compare the revision rates and survival outcomes in these two groups.
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Metal artifact reduction sequence-MRI abnormalities in asymptomatic patients with dual-mobility hip prostheses. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Nathanael D Heckmann, Brian C Chung, Kevin C Liu, Xiao T Chen, Luke R Lovro, Natalie M Kistler, Eric White, Alexander B Christ, Donald B Longjohn, Daniel A Oakes, Jay R Lieberman
Modular dual-mobility (DM) articulations are increasingly used during total hip arthroplasty (THA). However, concerns remain regarding the metal liner modularity. This study aims to correlate metal artifact reduction sequence (MARS)-MRI abnormalities with serum metal ion levels in patients with DM articulations.
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Environmental and genetic risk factors associated with total knee arthroplasty following cruciate ligament surgery. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Paul M Inclan, Robert H Brophy, Nancy L Saccone, Yinjiao Ma, Vy Pham, Elizabeth L Yanik
The purpose of this study is to determine an individual's age-specific prevalence of total knee arthroplasty (TKA) after cruciate ligament surgery, and to identify clinical and genetic risk factors associated with undergoing TKA.
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Threshold for anterior acetabular component overhang correlated with symptomatic iliopsoas impingement after total hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Alexandre Baujard, Pierre Martinot, Xavier Demondion, Julien Dartus, Philippe A Faure, Julien Girard, Henri Migaud
Mechanical impingement of the iliopsoas (IP) tendon accounts for 2% to 6% of persistent postoperative pain after total hip arthroplasty (THA). The most common initiator is anterior acetabular component protrusion, where the anterior margin is not covered by anterior acetabular wall. A CT scan can be used to identify and measure this overhang; however, no threshold exists for determining symptomatic
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Cardiac function may be compromised in patients with elevated blood cobalt levels secondary to metal-on-metal hip implants. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Mark R J Jenkinson, Dominic R M Meek, Rothwelle Tate, Adrian Brady, Sandy MacMillan, Helen Grant, Susan Currie
Elevated blood cobalt levels secondary to metal-on-metal (MoM) hip arthroplasties are a suggested risk factor for developing cardiovascular complications including cardiomyopathy. Clinical studies assessing patients with MoM hips using left ventricular ejection fraction (LVEF) have found conflicting evidence of cobalt-induced cardiomyopathy. Global longitudinal strain (GLS) is an echocardiography measurement
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Excessive posterior pelvic tilt from preoperative supine to postoperative standing after total hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Nathanael D Heckmann, Christopher Plaskos, Edgar A Wakelin, Jim W Pierrepont, Jonathan V Baré, Andrew J Shimmin
Excessive posterior pelvic tilt (PT) may increase the risk of anterior instability after total hip arthroplasty (THA). The aim of this study was to investigate the changes in PT occurring from the preoperative supine to postoperative standing position following THA, and identify factors associated with significant changes in PT.
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Registry-based study of survivorship of cemented femoral components versus collared cementless femoral components in total hip arthroplasty in older patients with osteoarthritis. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Aida Orce Rodríguez, Paul N Smith, Paul Johnson, Michael O'Sullivan, Carl Holder, Andrew Shimmin
In recent years, the use of a collared cementless femoral prosthesis has risen in popularity. The design intention of collared components is to transfer some load to the resected femoral calcar and prevent implant subsidence within the cancellous bone of the metaphysis. Conversely, the load transfer for a cemented femoral prosthesis depends on the cement-component and cement-bone interface interaction
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Influence of the type of stem and its fixation on revision and immediate postoperative mortality in elective total hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Michael Morlock, Carsten Perka, Oliver Melsheimer, Stephanie M Kirschbaum
Despite higher rates of revision after total hip arthroplasty (THA) being reported for uncemented stems in patients aged > 75 years, they are frequently used in this age group. Increased mortality after cemented fixation is often used as a justification, but recent data do not confirm this association. The aim of this study was to investigate the influence of the design of the stem and the type of
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Factors associated with decreased length of stay following robotic arm-assisted and conventional total hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Andreas Fontalis, Warran Wignadasan, Fabio Mancino, Crystallynn S The, Ahmed Magan, Ricci Plastow, Fares S Haddad
Postoperative length of stay (LOS) and discharge dispositions following arthroplasty can be used as surrogate measurements for improvements in patients' pathways and costs. With the increasing use of robotic technology in arthroplasty, it is important to assess its impact on LOS. The aim of this study was to identify factors associated with decreased LOS following robotic arm-assisted total hip arthroplasty
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The size of the femoral head does not influence metal ion levels after metal-on-polyethylene total hip arthroplasty: a five-year report from a randomized controlled trial. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Kristine I Bunyoz, Georgios Tsikandylakis, Kristian Mortensen, Kirill Gromov, Maziar Mohaddes, Henrik Malchau, Anders Troelsen
In metal-on-polyethylene (MoP) total hip arthroplasty (THA), large metal femoral heads have been used to increase stability and reduce the risk of dislocation. The increased size of the femoral head can, however, lead to increased taper corrosion, with the release of metal ions and adverse reactions. The aim of this study was to investigate the relationship between the size of the femoral head and
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Clinical and radiological outcomes with an augmented baseplate for superior glenoid wear in reverse shoulder arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Jong H Park, Jong H Lee, Dae Y Kim, Hyun G Kim, Jae S Kim, Sang M Lee, Su C Kim, Jae C Yoo
This study aimed to assess the impact of using the metal-augmented glenoid baseplate (AGB) on improving clinical and radiological outcomes, as well as reducing complications, in patients with superior glenoid wear undergoing reverse shoulder arthroplasty (RSA).
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Orthopaedic management of children with spinal dysraphism. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Deepika Pinto, Sabba Hussain, Donato G Leo, Anna Bridgens, Deborah Eastwood, Yael Gelfer
Children with spinal dysraphism can develop various musculoskeletal deformities, necessitating a range of orthopaedic interventions, causing significant morbidity, and making considerable demands on resources. This systematic review aimed to identify what outcome measures have been reported in the literature for children with spinal dysraphism who undergo orthopaedic interventions involving the lower
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Changing practice to a new-generation triple-taper collared femoral component reduces periprosthetic fracture rates after primary total hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Robert G Ricotti, Dimitrios A Flevas, Ruba Sokrab, Jonathan M Vigdorchik, David J Mayman, Seth A Jerabek, Thomas P Sculco, Peter K Sculco
Periprosthetic femoral fracture (PPF) is a major complication following total hip arthroplasty (THA). Uncemented femoral components are widely preferred in primary THA, but are associated with higher PPF risk than cemented components. Collared components have reduced PPF rates following uncemented primary THA compared to collarless components, while maintaining similar prosthetic designs. The purpose
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Arthroscopic suture in the management of palmar midcarpal instability. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Jean-Baptiste de Villeneuve Bargemon, Romain Mari, Christophe Mathoulin, Clément Prenaud, Lorenzo Merlini
Patients with midcarpal instability are difficult to manage. It is a rare condition, and few studies have reported the outcomes of surgical treatment. No prospective or retrospective study has reported the results of arthroscopic palmar capsuloligamentous suturing. Our aim was to report the results of a prospective study of arthroscopic suture of this ligament complex in patients with midcarpal instability
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Should high-risk patients seek out care from high-volume surgeons? Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Jeremiah Thomas, Itay Ashkenazi, Kyle W Lawrence, Roy I Davidovitch, Joshua C Rozell, Ran Schwarzkopf
Patients with a high comorbidity burden (HCB) can achieve similar improvements in quality of life compared with low-risk patients, but greater morbidity may deter surgeons from operating on these patients. Whether surgeon volume influences total hip arthroplasty (THA) outcomes in HCB patients has not been investigated. This study aimed to compare complication rates and implant survivorship in HCB patients
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Metal levels and glomerular filtration rate after unilateral Birmingham Hip Resurfacing. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Charles A Engh, Vinay Bhal, Robert H Hopper
The first aim of this study was to evaluate whether preoperative renal function is associated with postoperative changes in whole blood levels of metal ions in patients who have undergone a Birmingham Hip Resurfacing (BHR) arthroplasty with a metal-on-metal bearing. The second aim was to evaluate whether exposure to increased cobalt (Co) and chromium (Cr) levels for ten years adversely affected renal
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Long-term follow-up of an uncemented proximally hydroxyapatite-coated femoral stem in total hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Andy H F Yee, Vincent W K Chan, Henry Fu, Ping-Keung Chan, Kwong Y Chiu
The aim of this study was to evaluate the survival of a collarless, straight, hydroxyapatite-coated femoral stem in total hip arthroplasty (THA) at a minimum follow-up of 20 years.
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The failure of subcategorization of cauda equina syndrome. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Nicholas V Todd, Adrian Casey, Nick C Birch
The diagnostic sub-categorization of cauda equina syndrome (CES) is used to aid communication between doctors and other healthcare professionals. It is also used to determine the need for, and urgency of, MRI and surgery in these patients. A recent paper by Hoeritzauer et al (2023) in this journal examined the interobserver reliability of the widely accepted subcategories in 100 patients with cauda
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Low rate of periprosthetic femoral fracture with the Hueter anterior approach using stems cemented according to the 'French paradox'. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Pierre Laboudie, Aurélien Hallé, Philippe Anract, Moussa Hamadouche
The aim of this retrospective study was to assess the incidence of early periprosthetic femoral fracture (PFF) associated with Charnley-Kerboull (CK) femoral components cemented according to the 'French paradox' principles through the Hueter anterior approach (HAA) in patients older than 70 years.
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The use of medial joint opening rather than mechanical axis deviation to determine the clinical outcomes after high tibial osteotomy. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Sung E Kim, Junpyo Kwak, Du H Ro, Myung C Lee, Hyuk-Soo Han
The aim of this study was to evaluate whether achieving medial joint opening, as measured by the change in the joint line convergence angle (∆JLCA), is a better predictor of clinical outcomes after high tibial osteotomy (HTO) compared with the mechanical axis deviation, and to find individualized targets for the redistribution of load that reflect bony alignment, joint laxity, and surgical technique
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Survival of cemented short Exeter femoral components in primary total hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Mirthe H W van Veghel, Remy E van der Koelen, Gerjon Hannink, B W Schreurs, Wim H C Rijnen
The aim of this study was to report the long-term follow-up of cemented short Exeter femoral components when used in primary total hip arthroplasty (THA).
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Long-term polyethylene wear rates and clinical outcomes of oxidized zirconium femoral heads on highly cross-linked polyethylene in total hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Brandt C Buckner, Nathanael D Urban, Kevin M Cahoy, Elizabeth R Lyden, Christopher F Deans, Kevin L Garvin
Oxidized zirconium (OxZi) and highly cross-linked polyethylene (HXLPE) were developed to minimize wear and risk of osteolysis in total hip arthroplasty (THA). However, retrieval studies have shown that scratched femoral heads may lead to runaway wear, and few reports of long-term results have been published. The purpose of this investigation is to report minimum ten-year wear rates and clinical outcomes
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Magnetically driven antegrade intramedullary lengthening nails for tibial lengthening. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Bjoern Vogt, Milena Lueckingsmeier, Georg Gosheger, Andrea Laufer, Gregor Toporowski, Carina Antfang, Robert Roedl, Adrien Frommer
As an alternative to external fixators, intramedullary lengthening nails (ILNs) can be employed for distraction osteogenesis. While previous studies have demonstrated that typical complications of external devices, such as soft-tissue tethering, and pin site infection can be avoided with ILNs, there is a lack of studies that exclusively investigated tibial distraction osteogenesis with motorized ILNs
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Optimal hip capsular release for joint exposure in hip resurfacing via the direct anterior approach. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Kabelan J Karunaseelan, Rima Nasser, Jonathan R T Jeffers, Justin P Cobb
Surgical approaches that claim to be minimally invasive, such as the direct anterior approach (DAA), are reported to have a clinical advantage, but are technically challenging and may create more injury to the soft-tissues during joint exposure. Our aim was to quantify the effect of soft-tissue releases on the joint torque and femoral mobility during joint exposure for hip resurfacing performed via
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Effectiveness of bracing to achieve curve regression in adolescent idiopathic scoliosis. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Shiyu Tang, Jason P Y Cheung, Prudence W H Cheung
To systematically evaluate whether bracing can effectively achieve curve regression in patients with adolescent idiopathic scoliosis (AIS), and to identify any predictors of curve regression after bracing.
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Accuracy of femoral component anteversion in robotic total hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Nobuhiko Sugano, Yuki Maeda, Haruka Fuji, Kazunori Tamura, Nobuo Nakamura, Kazuma Takashima, Keisuke Uemura, Hidetoshi Hamada
Femoral component anteversion is an important factor in the success of total hip arthroplasty (THA). This retrospective study aimed to investigate the accuracy of femoral component anteversion with the Mako THA system and software using the Exeter cemented femoral component, compared to the Accolade II cementless femoral component.
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Clinical outcomes and return to dance after total hip arthroplasty or hip resurfacing in professional dancers. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Scott M LaValva, Drake G LeBrun, Haley G Canoles, Renee Ren, Douglas E Padgett, Edwin P Su
Professional dancers represent a unique patient population in the setting of hip arthroplasty, given the high degree of hip strength and mobility required by their profession. We sought to determine the clinical outcomes and ability to return to professional dance after total hip arthroplasty (THA) or hip resurfacing arthroplasty (HRA).
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Patient attitudes towards day-case hip and knee arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-03-01 Caroline H Halken, Christian Bredgaard Jensen, Cecilie Henkel, Kirill Gromov, Anders Troelsen
This study aimed to investigate patients' attitudes towards day-case hip and knee arthroplasty and to describe patient characteristics associated with different attitudes, with the purpose of providing an insight into the information requirements for patients that surgeons should address when informing patients about day-case surgery.
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Patient health-related quality of life deteriorates significantly while waiting six to 12 months for total hip or knee arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Chloe E H Scott, Liam Z Yapp, Deborah J MacDonald, Colin R Howie, Nick D Clement
The primary aim was to assess change in health-related quality of life (HRQoL) of patients as they waited from six to 12 months for a total hip (THA) or total or partial knee arthroplasty (KA). Secondary aims were to assess change in joint-specific function, mental health, quality of sleep, number living in a state worse than death (WTD), wellbeing, and patient satisfaction with their healthcare.
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Reoperation risk of periprosthetic fracture after primary total hip arthroplasty using a collared cementless or a taper-slip cemented stem. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Matthew Lynch Wong, Mark Robinson, Leeann Bryce, Roslyn Cassidy, Jonathan N Lamb, Owen Diamond, David Beverland
The aim of this study was to determine both the incidence of, and the reoperation rate for, postoperative periprosthetic femoral fracture (POPFF) after total hip arthroplasty (THA) with either a collared cementless (CC) femoral component or a cemented polished taper-slip (PTS) femoral component.
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Does the intercondylar approach provide a better outcome for chondroblastoma of the distal femur in skeletally immature patients? Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Khodamorad Jamshidi, Khalil Kargar Shooroki, Wael Ammar, Alireza Mirzaei
The epiphyseal approach to a chondroblastoma of the intercondylar notch of a child's distal femur does not provide adequate exposure, thereby necessitating the removal of a substantial amount of unaffected bone to expose the lesion. In this study, we compared the functional outcomes, local recurrence, and surgical complications of treating a chondroblastoma of the distal femoral epiphysis by either
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The characteristics and predictors of mortality in periprosthetic fractures around the knee. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Ahmed A H H Nasser, Manpreet Sidhu, Rohan Prakash, Ansar Mahmood, , , Khabab Osman, Govind S Chauhan, Rajpal Nandra, Varun Dewan, Jerome Davidson, Mohammed Al-Azzawi, Christian Smith, Mothana Gawad, Ioannis Palaiologos, Rory Cuthbert, Warran Wignadasan, Daniel Banks, James Archer, Abdulrahman Odeh, Thomas Moores, Muaaz Tahir, Margaret Brooks, Gurdeep Biring, Stevan Jordan, Zain Elahi, Mohammed Shaath
Periprosthetic fractures (PPFs) around the knee are challenging injuries. This study aims to describe the characteristics of knee PPFs and the impact of patient demographics, fracture types, and management modalities on in-hospital mortality.
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Analysis of modular taper fractures of the revision hip stem Prevision and comparison of the original and current taper design. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Lutz Dreyer, Christian Bader, Thilo Flörkemeier, Michael Wagner
The risk of mechanical failure of modular revision hip stems is frequently mentioned in the literature, but little is currently known about the actual clinical failure rates of this type of prosthesis. The current retrospective long-term analysis examines the distal and modular failure patterns of the Prevision hip stem from 18 years of clinical use. A design improvement of the modular taper was introduced
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Postoperative hypotension following acute hip fracture surgery is a predictor of 30-day mortality. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Neil Donald, Grace Eniola, Krisztian Deierl
Hip fractures are some of the most common fractures encountered in orthopaedic practice. We aimed to identify whether perioperative hypotension is a predictor of 30-day mortality, and to stratify patient groups that would benefit from closer monitoring and early intervention. While there is literature on intraoperative blood pressure, there are limited studies examining pre- and postoperative blood
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Higher complication rates following primary total shoulder arthroplasty in patients presenting from areas of higher social deprivation. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Krishna P Mandalia, Peter G Brodeur, Lambert T Li, Katharine Ives, Aristides I Cruz, Sarav S Shah
The aim of this study was to characterize the influence of social deprivation on the rate of complications, readmissions, and revisions following primary total shoulder arthroplasty (TSA), using the Social Deprivation Index (SDI). The SDI is a composite measurement, in percentages, of seven demographic characteristics: living in poverty, with < 12 years of education, single-parent households, living
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Migration and clinical outcomes of a novel cementless hydroxyapatite-coated titanium acetabular shell: two-year follow-up of a randomized controlled trial using radiostereometric analysis. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Thies J N van der Lelij, Perla J Marang-van de Mheen, Bart L Kaptein, Lennard A Koster, Peter Ljung, Rob G H H Nelissen, Sören Toksvig-Larsen
The objective of this study was to compare the two-year migration and clinical outcomes of a new cementless hydroxyapatite (HA)-coated titanium acetabular shell with its previous version, which shared the same geometrical design but a different manufacturing process for applying the titanium surface.
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Positive outcome reporting in orthopaedic literature. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Peter Filtes, Keenan Sobol, Charles Lin, Utkarsh Anil, Timothy Roberts, Carlos Pargas-Colina, Pablo Castañeda
Perthes' disease (PD) is a relatively rare syndrome of idiopathic osteonecrosis of the proximal femoral epiphysis. Treatment for Perthes' disease is controversial due to the many options available, with no clear superiority of one treatment over another. Despite having few evidence-based approaches, many patients with Perthes' disease are managed surgically. Positive outcome reporting, defined as reporting
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Central band interosseus membrane reconstruction for longitudinal instability injuries of the forearm. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Juan A Gallego, Dani Rotman, Adam C Watts
Acute and chronic injuries of the interosseus membrane can result in longitudinal instability of the forearm. Reconstruction of the central band of the interosseus membrane can help to restore biomechanical stability. Different methods have been used to reconstruct the central band, including tendon grafts, bone-ligament-bone grafts, and synthetic grafts. This Idea, Development, Exploration, Assessment
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Acetabular retroversion: functional or anatomical? Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Mark R J Jenkinson, Tin C C Cheung, Johan Witt, Jonathan R B Hutt
The aim of this study is to evaluate whether acetabular retroversion (AR) represents a structural anatomical abnormality of the pelvis or is a functional phenomenon of pelvic positioning in the sagittal plane, and to what extent the changes that result from patient-specific functional position affect the extent of AR.
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Comparison of survival prediction models for bone metastases of the extremities following surgery. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Jay H Park, Juneseok Won, Han-Soo Kim, Yongsung Kim, Shin Kim, Ilkyu Han
This study aimed to compare the performance of survival prediction models for bone metastases of the extremities (BM-E) with pathological fractures in an Asian cohort, and investigate patient characteristics associated with survival.
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Robotic trials in arthroplasty surgery. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Chetan Khatri, Andrew Metcalfe, Peter Wall, Martin Underwood, Fares S Haddad, Edward T Davis
Total hip and knee arthroplasty (THA, TKA) are largely successful procedures; however, both have variable outcomes, resulting in some patients being dissatisfied with the outcome. Surgeons are turning to technologies such as robotic-assisted surgery in an attempt to improve outcomes. Robust studies are needed to find out if these innovations are really benefitting patients. The Robotic Arthroplasty
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The necessity of ulnar nerve exploration and translocation in open reduction of medial humeral epicondyle fractures in children. Bone Joint J. (IF 4.6) Pub Date : 2024-02-01 Shaoshan Liu, Yuxi Su
Medial humeral epicondyle fractures (MHEFs) are common elbow fractures in children. Open reduction should be performed in patients with MHEF who have entrapped intra-articular fragments as well as displacement. However, following open reduction, transposition of the ulnar nerve is disputed. The aim of this study is to evaluate the need for ulnar nerve exploration and transposition.
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The conundrum in the measurement of femoral anteversion for young adults with hip pathology. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Junya Yoshitani,Karadi H Sunil Kumar,Seper Ekhtiari,Vikas Khanduja
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Towards a better understanding of patellofemoral instability. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Deiary F Kader,Samantha Jones,Fares S Haddad
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With gratitude to The Bone & Joint Journal family. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Fares S Haddad
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Does brace treatment following closed reduction of developmental dysplasia of the hip improve acetabular coverage? Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 William Z Morris, Arnav Kak, Laura M Mayfield, Michael S Kang, Chan-Hee Jo, Harry K W Kim
Abduction bracing is commonly used to treat developmental dysplasia of the hip (DDH) following closed reduction and spica casting, with little evidence to support or refute this practice. The purpose of this study was to determine the efficacy of abduction bracing after closed reduction in improving acetabular index (AI) and reducing secondary surgery for residual hip dysplasia.
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Comparison of outcomes between fungal and non-fungal periprosthetic joint infections in total knee arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Hong-Yeol Yang, Jae-Hyeok Cheon, Dong-Min Jung, Jong-Keun Seon
Fungal periprosthetic joint infections (PJIs) are rare, but their diagnosis and treatment are highly challenging. The purpose of this study was to investigate the clinical outcomes of patients with fungal PJIs treated with two-stage exchange knee arthroplasty combined with prolonged antifungal therapy.
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In situ fixation of slipped capital femoral epiphysis carries a greater than 40% risk of later total hip arthroplasty during a long-term follow-up. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Thomas Schlenzka, Joni Serlo, Timo Viljakka, Kaj Tallroth, Ilkka Helenius
We aimed to assess the cumulative risk of total hip arthroplasty (THA) from in situ fixation for slipped capital femoral epiphysis (SCFE) after a follow-up of almost 50 years.
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High treatment failure rate in haematogenous compared to non-haematogenous periprosthetic joint infection. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Leonard Knoll, Simon D Steppacher, Hansjakob Furrer, Maria C Thurnheer-Zürcher, Nora Renz
A higher failure rate has been reported in haematogenous periprosthetic joint infection (PJI) compared to non-haematogenous PJI. The reason for this difference is unknown. We investigated the outcome of haematogenous and non-haematogenous PJI to analyze the risk factors for failure in both groups of patients.
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Cementless metal-backed patellar components in primary total knee arthroplasty using an implant of modern design. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 James F Baker, Arun C Nadar, Alex C Jouflas, Langan S Smith, Shikha Sachdeva, Madhusudhan R Yakkanti, Arthur L Malkani
The use of cementless total knee arthroplasty (TKA) components has increased during the past decade. The initial design of cementless metal-backed patellar components had shown high failure rates due to many factors. The aim of this study was to evaluate the clinical results of a second-generation cementless, metal-backed patellar component of a modern design.
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A modified Delphi consensus statement on patellar instability: part II. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Eoghan T Hurley, Seth L Sherman, Jorge Chahla, Safa Gursoy, Michael J Alaia, Miho J Tanaka, J L Pace, Laith M Jazrawi, , Andrew J Hughes, Elizabeth A Arendt, Olufemi R Ayeni, Ashley J Bassett, Kevin F Bonner, Christopher L Camp, Kirk A Campbell, Cordelia W Carter, Michael G Ciccotti, Andrew J Cosgarea, David Dejour, Cory M Edgar, Brandon J Erickson, João Espregueira-Mendes, Jack Farr, Lutul D Farrow
The aim of this study was to establish consensus statements on medial patellofemoral ligament (MPFL) reconstruction, anteromedialization tibial tubercle osteotomy, trochleoplasty, and rehabilitation and return to sporting activity in patients with patellar instability, using the modified Delphi process.
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Quadriceps injuries. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Ricci Plastow, Rhody D Raj, Andreas Fontalis, Fares S Haddad
Injuries to the quadriceps muscle group are common in athletes performing high-speed running and kicking sports. The complex anatomy of the rectus femoris puts it at greatest risk of injury. There is variability in prognosis in the literature, with reinjury rates as high as 67% in the severe graded proximal tear. Studies have highlighted that athletes can reinjure after nonoperative management, and
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Oncological and functional outcomes after resection of malignant tumours of the scapula. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Samuel E Broida, Mikaela H Sullivan, Jonathan D Barlow, Mark Morrey, Maurizio Scorianz, Eric R Wagner, Joaquin Sanchez-Sotelo, Peter S Rose, Matthew T Houdek
The scapula is a rare site for a primary bone tumour. Only a small number of series have studied patient outcomes after treatment. Previous studies have shown a high rate of recurrence, with functional outcomes determined by the preservation of the glenohumeral joint and deltoid. The purpose of the current study was to report the outcome of patients who had undergone tumour resection that included
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Conventional versus lateral fasciotomy for prevention of lateral femoral cutaneous nerve injury in the non-fan-type nerve in total hip arthroplasty with direct anterior approach. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Hiroki Tanabe, Tomonori Baba, Yu Ozaki, Naotake Yanagisawa, Yasuhiro Homma, Masashi Nagao, Kazuo Kaneko, Muneaki Ishijima
Lateral femoral cutaneous nerve (LFCN) injury is a potential complication after the direct anterior approach for total hip arthroplasty (DAA-THA). The aim of this study was to determine how the location of the fasciotomy in DAA-THA affects LFCN injury.
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Clinical outcomes of anatomical versus reverse total shoulder arthroplasty in patients with primary osteoarthritis, an intact rotator cuff, and limited forward elevation. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Amy P Trammell, Kevin A Hao, Keegan M Hones, Jonathan O Wright, Thomas W Wright, Terrie Vasilopoulos, Bradley S Schoch, Joseph J King
Both anatomical and reverse total shoulder arthroplasty (aTSA and rTSA) provide functional improvements. A reported benefit of aTSA is better range of motion (ROM). However, it is not clear which procedure provides better outcomes in patients with limited foward elevation (FE). The aim of this study was to compare the outcome of aTSA and rTSA in patients with glenohumeral osteoarthritis (OA), an intact
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A modified Delphi consensus statement on patellar instability: part I. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Eoghan T Hurley, Andrew J Hughes, Ian Savage-Elliott, David Dejour, Kirk A Campbell, Mary K Mulcahey, Jocelyn R Wittstein, Laith M Jazrawi, , Michael J Alaia, Elizabeth A Arendt, Olufemi R Ayeni, Ashley J Bassett, Kevin F Bonner, Christopher L Camp, Cordelia W Carter, Jorge Chahla, Michael G Ciccotti, Andrew J Cosgarea, Cory M Edgar, Brandon J Erickson, João Espregueira-Mendes, Jack Farr, Lutul D Farrow
The aim of this study was to establish consensus statements on the diagnosis, nonoperative management, and indications, if any, for medial patellofemoral complex (MPFC) repair in patients with patellar instability, using the modified Delphi approach.
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No difference in patient-reported outcomes with cruciate-retaining, anterior-stabilized, and posterior-stabilized total knee arthroplasty designs. Bone Joint J. (IF 4.6) Pub Date : 2023-12-01 Yasser Rehman, Ann M Korsvold, Anners Lerdal, Arild Aamodt
This study compared patient-reported outcomes of three total knee arthroplasty (TKA) designs from one manufacturer: one cruciate-retaining (CR) design, and two cruciate-sacrificing designs, anterior-stabilized (AS) and posterior-stabilized (PS).
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Cost-effectiveness of arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in patients aged under 45 years. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Sabine J A van der Graaff,Max Reijman,Duncan E Meuffels,Marc A Koopmanschap,,,Susanne M Eijgenraam,Eline M van Es,Dirk J Hofstee,Kiem G Auw Yang,Julia C A Noorduyn,Ewoud R A van Arkel,Igor C J B van den Brand,Rob P A Janssen,Wai-Yan Liu,Sita M A Bierma-Zeinstra
Aims The aim of this study was to evaluate the cost-effectiveness of arthroscopic partial meniscectomy versus physical therapy plus optional delayed arthroscopic partial meniscectomy in young patients aged under 45 years with traumatic meniscal tears. Methods We conducted a multicentre, open-labelled, randomized controlled trial in patients aged 18 to 45 years, with a recent onset, traumatic, MRI-verified