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Machine Learning Did Not Outperform Conventional Competing Risk Modeling to Predict Revision Arthroplasty. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-12 Jacobien H F Oosterhoff, Anne A H de Hond, Rinne M Peters, Liza N van Steenbergen, Juliette C Sorel, Wierd P Zijlstra, Rudolf W Poolman, David Ring, Paul C Jutte, Gino M M J Kerkhoffs, Hein Putter, Ewout W Steyerberg, Job N Doornberg
Estimating the risk of revision after arthroplasty could inform patient and surgeon decision-making. However, there is a lack of well-performing prediction models assisting in this task, which may be due to current conventional modeling approaches such as traditional survivorship estimators (such as Kaplan-Meier) or competing risk estimators. Recent advances in machine learning survival analysis might
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Microwave Ablation of the Pig Growth Plate: Proof of Concept for Minimally Invasive Epiphysiodesis. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-12 Samuel O Noonan, Kyle J Miller, Stephanie Goldstein, Ellen Leiferman, James White, Chris Brace, Kenneth J Noonan
Different surgical methods for epiphysiodesis of limb length discrepancy (LLD) have been described. Although these methods are variably effective, they are associated with morbidity (pain and limp) and potential complications. Microwave ablation is a less-invasive opportunity to halt growth by selectively destroying the growth plate via thermal energy to treat LLD in children.
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Can the Sterilization Protocol Be Improved to Enhance the Healing of Allograft Tendons? An In Vivo Study in Rabbit Tendons. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-01 Haoran Zhang, Mingyou Xu, Yiwei Zhao, Zhiyi Li, Bingtai Han, Shengru Wang, Jingyu Zhang, Jianguo Zhang, Yongcheng Hu
Peracetic acid and irradiation are common sterilization methods for allograft tendons; however, under some conditions, both methods adversely affect the fiber arrangement and ultimate load of the tendon. An in vitro study showed that low-dose peracetic acid combined with irradiation may be less detrimental to allograft tendon structure and properties, possibly because the breakdown of peracetic acid
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How Much Bullying and Discrimination Are Reported by Sexual and Gender Minorities in Orthopaedics? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-28 Yogesh Kumaran, Jaime Bellamy, Ryann Maciejewski, Kirsten Tulchin-Francis, Julie Balch Samora
Discriminatory practices against minority populations are prominent, especially in the workplace. In particular, lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) individuals experience several barriers and stressors more often than individuals who do not identify as LGBTQ+. Mistreatment is common among these individuals in their personal and professional lives. However, representation
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High Expectations Among Patients Who Have Undergone TKA Do Not Correlate With Satisfaction. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-28 Nicole Vogel, Raphael Kaelin, Thomas Rychen, Séverin Wendelspiess, Magdalena Müller-Gerbl, Markus P Arnold
One of five patients is dissatisfied with the outcome of TKA. With the increasing number of TKAs, this affects many patients. It has been suggested that high expectations may influence satisfaction, but the relationship between preoperative patient expectations and postoperative patient satisfaction remains poorly understood.
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Hip Arthroscopy Improves Sexual Function in Receptive Partners with Femoroacetabular Impingement Syndrome. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-27 Nicole D Rynecki, Matthew T Kingery, Brittany DeClouette, Michael Buldo-Licciardi, Taylor Jazrawi, Jordan Eskenazi, Rae Lan, Thomas Youm
Hip pain due to femoroacetabular impingement (FAI) is thought to adversely impact sexual satisfaction because of exacerbation of symptoms with hip ROM. However, the effect of FAI on sexual satisfaction and improvement after surgery to treat FAI is largely absent from published studies, despite patients' apparent interest in it as registered by the frequent appearance of these topics on online anonymous
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Do Women and Minority Orthopaedic Residents Report Experiencing Worse Well-being and More Mistreatment Than Their Peers? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-23 Katherine M Gerull, Sandra E Klein, Anna N Miller, Cara A Cipriano
Despite the increased risk of attrition for women and minority residents during orthopaedic residency, there is currently a paucity of research examining the training environment of these residents. To address this, we examined how well-being constructs may differ for women or minority residents compared with their peers, and whether these residents report experiencing more mistreatment during residency
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Psoriasis Is a Risk Factor for Surgical Site Infection After Primary TKA. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-20 Caleb Durst, Lily Rajaee, Kenny Chang, Anderson Lee, Sean Rajaee
The relationship between psoriasis and complications after primary TKA is not well defined. Current studies are limited to small, single-center studies evaluating fewer than 150 patients with psoriasis, with some studies reporting an increased risk of surgical site infection (SSI) and another reporting no associated risk. There is a need to reevaluate the risk of psoriasis and postoperative complications
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Femoral Component Design Is Associated With the Risk of Periprosthetic Femur Fracture After Cementless THA in Patients 65 Years or Older. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-06 Mackenzie Kelly, Antonia F Chen, Sean P Ryan, Zachary M Working, Ayushmita De, Kyle Mullen, Kimberly R Porter, Ryland Kagan
Periprosthetic femur fracture is a known complication after THA. The associated risk of cementless femoral component design for periprosthetic femur fracture in a registry population of patients older than 65 years has yet to be clearly identified.
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How Does Customized Cutting Guide Design Affect Accuracy and Ergonomics in Pelvic Tumor Resection? A Study in Cadavers. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-06 Henri Fragnaud, Vincent Biscaccianti, Jean-Yves Hascoët, Antoine Hamel, Mathieu Rostam, François Lataste, Yoann Varenne, Luciano Vidal, Vincent Crenn
Customized cutting guides are technical aids that make primary pelvic bone tumor resection safer and more reliable. Although the effectiveness of such devices appears to be widely accepted, their conception and design remain varied. Two main designs have been reported: the heavier block-type customized cutting guides and the lighter patch-type customized cutting guides. As recent tools, there must
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Does the Combination of Platelet-rich Plasma and Supervised Exercise Yield Better Pain Relief and Enhanced Function in Knee Osteoarthritis? A Randomized Controlled Trial. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-06 Sezen Karaborklu Argut, Derya Celik, Omer Naci Ergin, Onder Ismet Kilicoglu
Knee osteoarthritis is a leading cause of disability with substantial healthcare costs, and efficient nonsurgical treatment methods are still needed. Platelet-rich plasma (PRP) injections and exercise therapy are used frequently in clinical practice. Whether PRP or PRP combined with exercise is more effective than exercise alone is unclear.
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In Vitro Elution of Gentamicin from CERAMENT® G Has an Antimicrobial Effect on Bacteria With Various Levels of Gentamicin Resistance Found in Fracture-related Infection. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-30 Hans Bezstarosti, Esther M M Van Lieshout, Maartje J B Van den Hurk, Kirsten Kortram, Pim Oprel, Birgit C P Koch, Peter D Croughs, Michael H J Verhofstad
Fracture-related infection is a serious complication after trauma. CERAMENT® G combines dead-space management with local release of gentamicin in a single-stage procedure. Bacterial resistance against antibiotics is increasing. The local effect of CERAMENT® G on bacteria resistant to systemically administered gentamicin is unknown.
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Do Patients Treated With an Unplanned Resection for Small Superficial Soft Tissue Sarcomas Have Worse Long-term Survival Than Those Initially Treated With an Oncologic Resection? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-26 Jorge Gómez-Álvarez, José María Lamo-Espinosa, Mikel San-Julián
Histologic grade, size, and depth are well-known prognostic factors in soft tissue sarcomas (STS). Small (< 5 cm) and superficial STS generally have an excellent prognosis when treated with appropriate surgery. However, they are often misdiagnosed and mistreated. We reported that in midterm follow-up (5 to 7 years), patients with unplanned resections of tumors with positive margins who immediately
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What Is the Revision-free Survival of Resurfaced Allograft-prosthesis Composites for Proximal Humerus Reconstruction in Children With Bone Tumors? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-23 Costantino Errani, Hisaki Aiba, Ahmed Atherley, Marco Palmas, Hiroaki Kimura, Davide Maria Donati, Marco Manfrini
Reconstruction of the proximal humerus in children who undergo bone tumor resection is challenging because of patients' small bone size and possible limb length discrepancy at the end of skeletal growth due to loss of the physis. There are several options for proximal humerus reconstruction in children, such as clavicula pro humero, free vascularized fibula grafting, massive bone osteoarticular allografting
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Is Prophylactic Antibiotic Use Necessary Before Dental Procedures in Primary and Revision TKA? A Propensity Score-matched, Large-database Study. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-17 Hyung Jun Park, Kyeol Koh, Yoon Ji Choi, Dong Hun Suh, Darryl D'Lima, Jae Gyoon Kim
The question of whether dental procedures increase the risk of periprosthetic joint infection (PJI) in patients who have undergone total joint arthroplasty (TJA) remains controversial.
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What Is the Influence of Femoral Version on Size, Tear Location, and Tear Pattern of the Acetabular Labrum in Patients With FAI? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-16 Alexander F Heimann, Inga Almut Senta Todorski, Florian Schmaranzer, Martino Viganò, Till D Lerch, Joseph M Schwab, Simon D Steppacher, Moritz Tannast
Femoral version deformities have recently been identified as a major contributor to femoroacetabular impingement (FAI). An in-depth understanding of the specific labral damage patterns caused by femoral version deformities may help to understand the underlying pathomorphologies in symptomatic patients and select the appropriate surgical treatment.
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High Risk of Readmission After THA Regardless of Functional Status in Patients Discharged to Skilled Nursing Facility. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-16 Ignacio Pasqualini, Joshua L Tidd, Alison K Klika, Gabrielle Jones, Joshua K Johnson, Nicolas S Piuzzi
The postoperative period and subsequent discharge planning are critical in our continued efforts to decrease the risk of complications after THA. Patients discharged to skilled nursing facilities (SNFs) have consistently exhibited higher readmission rates compared with those discharged to home healthcare. This elevated risk has been attributed to several factors but whether readmission is associated
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A Shadow of Doubt: Is There Implicit Bias Among Orthopaedic Surgery Faculty and Residents Regarding Race and Gender? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-12 Shawn R Gilbert, Timothy Torrez, Achraf H Jardaly, Kimberly J Templeton, Gabriella E Ode, Kelsie Coe, Joshua C Patt, Mara L Schenker, Gerald McGwin, Brent A Ponce
Orthopaedic surgery continues to be one of the least diverse medical specialties. Recently, increasing emphasis has been placed on improving diversity in the medical field, which includes the need to better understand existing biases. Despite this, only about 6% of orthopaedic surgeons are women and 0.3% are Black. Addressing diversity, in part, requires a better understanding of existing biases. Most
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Are IDH1 R132 Mutations Associated With Poor Prognosis in Patients With Chondrosarcoma of the Bone? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-03 Giulia Trovarelli, Marta Sbaraglia, Andrea Angelini, Elena Bellan, Elisa Pala, Elisa Belluzzi, Assunta Pozzuoli, Chiara Borga, Angelo Paolo Dei Tos, Pietro Ruggieri
Because chondrosarcomas vary widely in their behavior, and because anticipating their behavior based on histology alone can be challenging, genetic markers represent an appealing area of inquiry that may help us refine our prognostic approaches. Isocitrate dehydrogenase (IDH) mutations are involved in the pathogenesis of a variety of neoplasms, and recently, IDH1/2 mutations have been found in the
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Mini-open Femoroacetabular Osteoplasty in Patients With Tönnis Grade 2 or Higher Osteoarthritis is Associated With a Higher Risk of Subsequent Conversion to THA. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-03 Mohammad S Abdelaal, Ryan M Sutton, Matthew B Sherman, Javad Parvizi
The severity of degenerative changes of the hip is known to adversely impact the outcomes of the treatment of femoroacetabular impingement (FAI). Although the operative indications for FAI have expanded to include patients with moderate degrees of hip osteoarthritis, the exact stage of hip osteoarthritis at which surgery for FAI can offer clinical benefits is still uncertain.
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What Are the Recurrence Rates, Complications, and Functional Outcomes After Multiportal Arthroscopic Synovectomy for Patients With Knee Diffuse-type Tenosynovial Giant-cell Tumors? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-28 Lei Yao, Yinghao Li, Tao Li, Weili Fu, Gang Chen, Qi Li, Xin Tang, Jian Li, Yan Xiong
Diffuse-type tenosynovial giant-cell tumor (D-TGCT), formerly known as pigmented villonodular synovitis, is a rare, locally aggressive, invasive soft tissue tumor that primarily occurs in the knee. Surgical excision is the main treatment option, but there is a high recurrence rate. Arthroscopic surgical techniques are emphasized because they are less traumatic and offer faster postoperative recovery
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Patients With Preexisting Anxiety and Mood Disorders Are More Likely to Develop Complex Regional Pain Syndrome After Fractures. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-22 Daniel E Pereira, David Momtaz, Rishi Gonuguntla, Mehul Mittal, Aaron Singh, Dhyan Dave, Pooya Hosseinzadeh
Complex regional pain syndrome (CRPS) is a multifactorial condition that may affect patients who sustain a fracture in the upper and lower extremities. Prior investigations have formed a foundation for exploring a possible association between psychiatric disorders and the development of CRPS; however, current studies are conflicted regarding the existence and temporality of a relationship between psychiatric
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Can a Psychologic Profile Predict Successful Return to Full Duty After a Musculoskeletal Injury? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-19 Tina A Greenlee, Garrett Bullock, Deydre S Teyhen, Daniel I Rhon
Psychologic variables have been shown to have a strong relationship with recovery from injury and return to work or sports. The extent to which psychologic variables predict successful return to work in military settings is unknown.
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No Difference in Revision Rates and High Survival Rates in Large-head Metal-on-metal THA Versus Metal-on-polyethylene THA: Long-term Results of a Randomized Controlled Trial. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-12 Willemijn Spierenburg, Astrid J de Vries, Martijn F Boomsma, S Siepelinga, Tom Wetzels, Jos J A M van Raaij
Pseudotumor formation is a well-known complication in metal-on-metal (MoM) THA. Pseudotumors combined with elevated serum ion levels and complaints from patients can lead to high revision rates. Long-term (> 10 years) results obtained from randomized trials comparing large-head MoM THA and conventional metal-on-polyethylene (MoP) THA are lacking regarding revision and survival rates, pseudotumor formation
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Medicaid Insurance is Associated With Decreased MRI Use for Ankle Sprains Compared With Private Insurance: A Retrospective Database Analysis. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-07 Thompson Zhuang, Nicholas Vandal, Bijan Dehghani, Aymen Alqazzaz, Casey Jo Humbyrd
Advanced imaging modalities are expensive, and access to advanced imaging services may vary by socioeconomic factors, creating the potential for unwarranted variations in care. Ankle sprains are a common injury for which variations in MRI use can occur, both via underuse of indicated MRIs (appropriate use) and overuse of nonindicated MRIs (inappropriate use). High-value, equitable healthcare would
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Is Ultrasound-guided or Landmark-guided Intra-articular Lidocaine Injection More Effective for Pain Control in Anterior Shoulder Dislocation Reduction? A Randomized Controlled Trial. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-06 Visit Rungsinaporn, Sirasit Innarkgool, Pinkawas Kongmalai
Effective pain control during reduction of shoulder dislocation is essential for patient comfort. However, there is a lack of comprehensive research comparing the efficacy of different pain management techniques, specifically landmark-guided and ultrasound-guided intra-articular analgesic injections.
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CORR Insights®: Is Operative Time Associated With Obesity-related Outcomes in TKA? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-01 Wendy M Novicoff
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Does A Hinged Operating Table Facilitate Sagittal Correction in Transforaminal Lumbar Interbody Fusion With Smith-Peterson Osteotomy? A Radiographic Analysis. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-01 David W Polly, Kenneth J Holton, Jason J Haselhuhn, Paul Brian O Soriano, Kristen E Jones, Jonathan N Sembrano, Christopher T Martin
Osteotomies allow the restoration of appropriate sagittal alignment; however, closure of osteotomies can be challenging. Typical closure involves compressing pedicle screw heads across the rods, potentially causing screw loosening and failure. Motorized hinged operating tables are often used to assist with controlled closure of osteotomies without manual compression, but there is no published research
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Cochrane in CORR®: Non-pharmacological Interventions for Preventing Delirium in Hospitalized Non-ICU Patients. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-30 Maram Khaled,Kim Madden
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Editor's Spotlight/Take 5: Better Mobility Is Associated With Higher Incomes and Longer Working Years Among Older Adults. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-28 Paul A Manner
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CORR Insights®: Positive Intraoperative Cultures in Cup Revisions of THA: What Happens to the Stem? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-28 Jacob M Drew
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Detection of Novel Tyrosine Kinase Fusion Genes as Potential Therapeutic Targets in Bone and Soft Tissue Sarcomas Using DNA/RNA-based Clinical Sequencing. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-28 Nobuhiko Hasegawa, Takuo Hayashi, Hidetaka Niizuma, Kazutaka Kikuta, Jungo Imanishi, Makoto Endo, Hiroshi Ikeuchi, Keita Sasa, Kei Sano, Kaoru Hirabayashi, Tatsuya Takagi, Muneaki Ishijima, Shunsuke Kato, Shinji Kohsaka, Tsuyoshi Saito, Yoshiyuki Suehara
Approximately 1% of clinically treatable tyrosine kinase fusions, including anaplastic lymphoma kinase, neurotrophic tyrosine receptor kinase, RET proto-oncogene, and ROS proto-oncogene 1, have been identified in soft tissue sarcomas via comprehensive genome profiling based on DNA sequencing. Histologic tumor-specific fusion genes have been reported in approximately 20% of soft tissue sarcomas; however
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Letter to the Editor: Is Tension Band Wire Fixation Superior to Plate Fixation for Simple Displaced Olecranon Fractures? A Randomized Trial With Median Follow-up of 7.5 Years. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-27 Charalampos G Zalavras
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Elective THA for Indications Other Than Osteoarthritis Is Associated With Increased Cost and Resource Use: A Medicare Database Study of 135,194 Claims. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-27 Collin W Blackburn, Jerry Y Du, Randall E Marcus
Under Medicare's fee-for-service and bundled payment models, the basic unit of hospital payment for inpatient hospitalizations is determined by the Medicare Severity Diagnosis Related Group (MS-DRG) coding system. Primary total joint arthroplasties (hip and knee) are coded under MS-DRG code 469 for hospitalizations with a major complication or comorbidity and MS-DRG code 470 for those without a major
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Behind the Mask: Solitude and Orthopaedics. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-24 Steven E Zhang
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Letter to the Editor: Anterior Malreduction is Associated With Lag Screw Cutout After Internal Fixation of Intertrochanteric Fractures. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-22 Shi-Yi Chen,Hao-Tao Li,Shi-Min Chang
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Art in Science: Ansel Adams, Medical Photographer. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-22 Stuart A Green
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High Rates of Treatment Failure and Amputation in Modular Endoprosthesis Prosthetic Joint Infections Caused by Fungal Infections With Candida. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-21 Marcos R Gonzalez,Marilee J Clunk,Jose I Acosta,Angad D S Bedi,Daniel Karczewski,Santiago A Lozano-Calderon
BACKGROUND Fungal prosthetic joint infections (PJIs) are rare yet severe events associated with high rates of recurrent infection. Although bacterial PJIs associated with megaprostheses are known to be associated with higher rates of recurrence and amputation, little is known about fungal PJIs near megaprostheses. QUESTIONS/PURPOSES In patients with fungal megaprosthesis PJIs from one institutional
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High Prevalence of Work-related Musculoskeletal Disorders and Limited Evidence-based Ergonomics in Orthopaedic Surgery: A Systematic Review. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-21 Nikhil Vasireddi,Neal Vasireddi,Aakash K Shah,Andrew J Moyal,Elizabeth B Gausden,Alexander S Mclawhorn,Kornelis A Poelstra,Heath P Gould,James E Voos,Jacob G Calcei
BACKGROUND The Centers for Disease Control defines work-related musculoskeletal disorders as disorders of the nerves, muscles, tendons, joints, spinal discs, and cartilage that are caused or exacerbated by the environment or nature of work. Previous meta-analyses have characterized work-related musculoskeletal disorders among interventionists, general surgeons, and other surgical subspecialties, but
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How Does the Subchondral Bone Density Distribution of the Distal Humerus Change Between Early and Advanced Stages of Osteoarthritis? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-15 Ji Sup Hwang,Samuel Jaeyoon Won,Hyun Sik Gong
BACKGROUND The distribution of subchondral bone density in a joint represents stress that is applied to the joint. Knowing this information is important for understanding the pathophysiology of osteoarthritis (OA). In the elbow, however, this has not been studied before. QUESTIONS/PURPOSES (1) Is advanced-stage elbow OA associated with more radially distributed subchondral bone density than earlier
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Pearls: Desirable Difficulty-Make Learning Harder on Purpose. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-15 Melissa M Allen
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Robotic-assisted TKA is Not Associated With Decreased Odds of Early Revision: An Analysis of the American Joint Replacement Registry. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-14 Gregory J Kirchner,Jeffrey B Stambough,Emily Jimenez,Lucas E Nikkel
BACKGROUND Robotic-assisted TKA continues to see wider clinical use, despite limited knowledge of its impact on patient satisfaction and implant survival. Most studies to date have presented small cohorts and came from single-surgeon or single-center experiences. Therefore, a population-level comparison of revision rates between robotic-assisted and conventional TKA in the registry setting may help
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Virtual Reality Distraction Is No Better Than Simple Distraction Techniques for Reducing Pain and Anxiety During Pediatric Orthopaedic Outpatient Procedures: A Randomized Controlled Trial. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-08 Peter D Fabricant, Preston W Gross, Alexandra T Mackie, Madison R Heath, Nicolas Pascual-Leone, John P Denneen, Peyton E Gelley, David M Scher, Lisa S Ipp
In-office procedures can be painful and anxiety-provoking for pediatric patients. Minimizing such pain and anxiety in children improves the patient experience and promotes a rewarding and productive patient-caregiver-provider relationship, which may for some young patients be their first memorable encounter with the healthcare system. Although virtual reality (VR) techniques have proven to be helpful
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CORR® Curriculum-Orthopaedic Education: Will Holistic Review of Residency Candidates be as Painful as You Think? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-07 R Carter Clement,
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Differences in Cortical Activation During Dorsiflexion and Plantarflexion in Chronic Ankle Instability: A Task-fMRI Study. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-07 Yajie Li, Zhifeng Wang, Yiyuan Shen, Yang Yang, Xu Wang, Hanqiu Liu, Weiwei Wang
Chronic ankle instability is a common sports injury that often presents with increased plantarflexion and restricted dorsiflexion. The cumulative effect of peripheral injuries may induce neuroplasticity in the central nervous system. However, the relationship between dorsiflexion or plantarflexion and the central nervous system in patients with chronic ankle instability remains unknown.
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Is Replantation Associated With Better Hand Function After Traumatic Hand Amputation Than After Revision Amputation? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-03 Joonas Pyörny,Patrick Luukinen,Ida Neergård Sletten,Aleksi Reito,Olli V Leppänen,Jarkko Jokihaara
BACKGROUND Replantation is an established treatment for traumatic upper extremity amputation. Only a few studies, however, have assessed the patient-reported outcomes of replantation, and the findings of these studies have been conflicting. QUESTIONS/PURPOSES (1) Is replantation associated with better hand function than revision amputation? (2) Is replantation associated with better health-related
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Not the Last Word: Are Medical School Loans Mortgages Without Houses? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-31 Joseph Bernstein
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Editor's Spotlight/Take 5: Routine MRI Among Patients With a Suspected Scaphoid Fracture Risks Overdiagnosis. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-31 Seth S Leopold
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On Patient Safety: When Doctors Strike. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-31 James Rickert
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ArtiFacts: Bryan Anderson's Long March With Heterotopic Ossification. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-31 Alan J Hawk
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Medicolegal Sidebar: The End May Be Near for Noncompete Agreements. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-27 B Sonny Bal
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Subtrochanteric Shortening Osteotomy Provides Superior Function to Trochanter Slide Osteotomy in THA for Patients With Unilateral Crowe Type IV Dysplasia at a Minimum of 3 Years. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-27 Hadi Ravanbod, Kaveh Gharanizadeh, Peyman Mirghaderi, Ahmad Hassan, Mansour Abolghasemian
Performing THA in patients with high-riding developmental dysplasia of the hip (DDH) is associated with serious complications and technical challenges. Various methods of shortening osteotomy are available to facilitate femoral head reduction during THA in patients with high-riding hips; subtrochanteric shortening osteotomy and trochanteric slide osteotomy plus proximal shortening are the most common
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Neutrophil Extracellular Trap-related Biomarkers Are Increased in the Synovial Fluid of Patients With Periprosthetic Joint Infections. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-26 Osamu de Sandes Kimura, Alan Mozella, Hugo Cobra, Augusto Carlos Maciel Saraiva, Emilio Henrique Carvalho de Almendra Freitas, Marco Bernardo Cury Fernandes, João Antonio Matheus Guimarães, Helton Defino, Ana Carolina Leal
The diagnosis of periprosthetic joint infection (PJI) is a major challenge in clinical practice. The role of neutrophils in fighting infection has been increasingly understood, and one mechanism of action of these cells is neutrophil extracellular traps. However, little is known about this process in PJI.
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Are Commonly Used Geographically Based Social Determinant of Health Indices in Orthopaedic Surgery Research Correlated With Each Other and With PROMIS Global-10 Physical and Mental Health Scores? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-26 David N Bernstein, David Shin, Rudolf W Poolman, Joseph H Schwab, Daniel G Tobert
Geographically based social determinants of health (SDoH) measures are useful in research and policy aimed at addressing health disparities. In the United States, the Area Deprivation Index (ADI), Neighborhood Stress Score (NSS), and Social Vulnerability Index (SVI) are frequently used, but often without a clear reason as to why one is chosen over another. There is limited evidence about how strongly
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Clinical Faceoff: Strategies for Management of Suspected Scaphoid Fractures. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-25 David Ring,Jane E McEachan,Benjamin J F Dean
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Better Mobility Is Associated With Higher Incomes and Longer Working Years Among Older Adults. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-25 Alex Pu,Subrata Paul,Brian Luke,Timothy Bhattacharyya
BACKGROUND Robust physical mobility is the key to healthy independent aging. Although the association between socioeconomic status and health is well documented, it is unclear whether there is a relationship between mobility and income, because income data are not readily available. QUESTIONS/PURPOSES (1) Do individuals with better mobility have higher incomes? (2) Does maintaining mobility over time
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What Are the Long-term Outcomes of Locking Plates for Nonosteoporotic Three-part and Four-part Proximal Humeral Fractures With a Minimum 10-year Follow-up Period? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-24 Zhijun Zhang,Yijun Li,Yang Zhao,Yi Lu,Yiming Zhu,Chunyan Jiang
BACKGROUND Proximal humeral fractures (PHFs) often occur in elderly individuals who experience low-energy falls. Open reduction and internal fixation (ORIF) of the proximal humerus is typically performed in young, active patients because of their good bone quality and high functional demands. Although good short-term results have been reported after ORIF in young patients, few studies have specifically
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CORR Insights®: Which Knee Phenotypes Exhibit the Strongest Correlation With Cartilage Degeneration? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-23 Shuichi Matsuda
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A Conversation With … Ryan Neil, Bonsai Artist, on Long Apprenticeships (Not Too Different From Long Residencies). Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-18 M Daniel Wongworawat
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Conversion THA With Concomitant Removal of Orthopaedic Hardware Should Be Reclassified as a Revision Surgery in the Medicare Severity Diagnosis-Related Group Coding Scheme: An Analysis of Cost and Resource Use. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-10-18 Collin W Blackburn, Kallie J Chen, Jerry Y Du, Randall E Marcus
Conversion THA, which we defined for this study as THA with concomitant removal of preexisting orthopaedic hardware, has been associated with increased hospital costs and perioperative complications compared with primary THA. Yet, conversion THA is classified as a primary procedure under the Medicare Severity Diagnosis-Related Group coding scheme, and hospitals are reimbursed based on the resource