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Matrix stiffness regulates nucleus pulposus cell glycolysis by MRTF-A-dependent mechanotransduction Bone Res. (IF 14.3) Pub Date : 2025-02-14 Haoran Xu, Kang Wei, Jinhao Ni, Xiaofeng Deng, Yuexing Wang, Taiyang Xiang, Fanglong Song, Qianliang Wang, Yanping Niu, Fengxian Jiang, Jun Wang, Lei Sheng, Jun Dai
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Photothermal sensitive nanocomposite hydrogel for infectious bone defects Bone Res. (IF 14.3) Pub Date : 2025-02-14 Yanting Wu, Xi Xie, Guowen Luo, Jing Xie, Xiuwen Ye, Wanrong Gu, Anchun Mo, Zhiyong Qian, Chenchen Zhou, Jinfeng Liao
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Delayed-Onset Neurologic Changes Following Posterior Spinal Fusion: A Case Series. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-14 Nicholas D Fletcher,Hilary Harris,Jorge Fabregas,John S Vorhies,Paul D Sponseller,Baron A Lonner,Stephen G George,Sumeet Garg,John F Lovejoy,Michael G Vitale,Brandon A Ramo,Ron El-Hawary,Viral V Jain,Jennifer M Bauer
BACKGROUND Delayed-onset neurologic changes (DONCs) following spinal deformity surgery are poorly understood and are often devastating. METHODS A retrospective review of cases from 12 hospitals was performed. The clinical and radiographic parameters of patients who experienced a new DONC after spinal deformity correction were evaluated. RESULTS Eighteen patients, with a mean preoperative major Cobb
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Properties of Tungsten Carbide Rings When Compressed to Failure or Cut with a Diamond Grinding Bit: A Biomechanical Study. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-14 Ernesto S Quinto,Nathan P Reyes,Joshua P Steimel,JuEun Lee,John M Dowbak
BACKGROUND Tungsten carbide rings are increasingly popular modern jewelry items. Tungsten carbide is an extremely dense, hard metal. Previously described methods to remove tungsten carbide rings include using locking pliers to compress the ring or cutting the ring with a high-speed dental drill. METHODS A universal mechanical testing system (MTS) machine was used to diametrically compress tungsten
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A Hip New Standard: Improving Osteoporosis Care with Inpatient Administration of IV Zoledronate. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-14 Naomi M Turner,Marissa Song Mayeda,Bryanna De Lima,Darin Friess,Yee-Cheen Doung,Kathleen Drago
BACKGROUND Osteoporosis continues to be underdiagnosed and inadequately treated in older hip-fracture patients. Our aim was to improve the rate of osteoporosis treatment with IV bisphosphonate therapy in eligible patients admitted for hip-fracture surgery. METHODS The present study was designed as a quality improvement initiative using Plan-Do-Study-Act (PDSA) cycles at an academic medical center in
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Voluntary Incident Reporting in Health Care: Genesis, Challenges, and Opportunity. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-13 Alexander R Markes,Mohammad Diab
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Total Hip Arthroplasty in Children: A Dutch Arthroplasty Register Study with Data from 283 Hips. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-13 H W van Kouswijk,M G J Gademan,R G H H Nelissen,P B de Witte
BACKGROUND Total hip arthroplasty (THA) is rarely performed in pediatric patients and can be challenging in children because of smaller-sized joints, pathomorphological changes around the hip, residual growth, and higher physical demands. Literature on THA outcomes in this unique population is scarce. We aimed to describe characteristics of pediatric patients who underwent THA, 5- and 10-year implant
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Response to the commentary on "Surgical restabilization reduces the progression of post-traumatic osteoarthritis initiated by ACL rupture in mice". Osteoarthr. Cartil. (IF 7.2) Pub Date : 2025-02-12 Blaine A Christiansen,Yu-Yang Lin,Cassandra A Lee
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What Are the Minimum Clinically Important Difference, Substantial Clinical Benefit, and Patient-Acceptable Symptom State Thresholds for the Modified Harris Hip Score and International Hip Outcome Tool 12 Among Patients Who Undergo Periacetabular Osteotomy? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-12 Zachary A Trotzky,Ryan G Smolarsky,Sophia J Madjarova,Olivia M Jochl,Benjamin F Ricciardi,Stephen Lyman,Catherine H MacLean,Benedict U Nwachukwu,Ernest L Sink
BACKGROUND The utility of patient-reported outcome measures (PROMs) has been well established, but their interpretation relies on population-specific definitions of meaningful improvement. As such, the minimum clinically important difference (MCID), substantial clinical benefit (SCB), and patient-acceptable symptom state (PASS) thresholds have become prominent metrics in the orthopaedic evidence to
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Comment on: 'Surgical restabilization reduces the progression of post-traumatic osteoarthritis initiated by ACL rupture in mice' (Lin et al., 2024). Osteoarthr. Cartil. (IF 7.2) Pub Date : 2025-02-11 Tazio Maleitzke,Johanna Bolander,Ali Mobasheri,Florian N Fleckenstein,Felix Eckstein,Nicholas M Brisson,Tobias Winkler
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CORR Insights®: Long Head of Biceps Tendinopathy Is Associated With Age and Cuff Tendinopathy on MRI Obtained for Evaluation of Shoulder Pain. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-11 Gabriella Ode
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Artificial Intelligence Shows Limited Success in Improving Readability Levels of Spanish-language Orthopaedic Patient Education Materials. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-11 Rodnell Busigó Torres,Mariana Restrepo,Brocha Z Stern,B Israel Yahuaca,Rafael A Buerba,Ivan A García,Victor H Hernandez,Ronald A Navarro
BACKGROUND The more than 41 million people in the United States who speak Spanish represent one of the fastest-growing US populations. Non-English-speaking patients often face poorer health outcomes because of language barriers that hinder patient education. Orthopaedic education materials have limited availability in Spanish and may be difficult for some patients to read. The American Academy of Orthopaedic
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CORR Insights®: How Is Preoperative Opioid Use Associated With Readmissions and Outcomes in Lower Extremity Trauma? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-11 Jaimo Ahn
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EZH2 inhibits senescence-associated inflammation and attenuates intervertebral disc degeneration by regulating the cGAS/STING pathway via H3K27me3. Osteoarthr. Cartil. (IF 7.2) Pub Date : 2025-02-10 Jianrui Zheng,Zetao Ma,Pei Liu,Jiewen Wei,Shaoxiong Min,Ying Shan,Jianlin Zhang,Ye Li,Lixiang Xue,Zhen Tan,Deli Wang
OBJECTIVE Senescent nucleus pulposus mesenchymal stem cells (NPMSCs) are key instigators of local chronic inflammation and disruptions in nucleus pulposus tissue repair in intervertebral disc degeneration (IVDD). This study aimed to investigate the interplay between EZH2 and NPMSCs senescence-associated inflammation. METHODS Nucleus pulposus samples were collected from IVDD patients (n = 15, F/M =
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An Opioid-Free Perioperative Pain Protocol Is Noninferior to Opioid-Containing Management: A Randomized Controlled Trial. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-10 Robby Turk,Benjamin Averkamp,Kayla Hietpas,Caleb Michalek,Daniel Leas,Susan M Odum,Nady Hamid,
BACKGROUND In recent years, orthopaedic surgeons have attempted to decrease opioid consumption through multimodal pain management. However, a limited effort has been made to eliminate opioids entirely in the perioperative period. The purpose of this study was to compare the efficacy and safety of a novel opioid-free pain management pathway with that of an opioid-containing pathway across 5 common orthopaedic
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Evaluating Data-Sharing Policies and Author Compliance in Leading Orthopaedic Journals. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-10 Josh Major,Klaire Wild,Annes Elfar,Brody Dennis,Eli Oldham,Alex Hagood,Eli Paul,Jake X Checketts,Alicia Ito Ford,Matt Vassar
BACKGROUND Orthopaedic surgery is a critical field, impacting global health-care expenditure and patient outcomes. Despite substantial research funding, issues of transparency and reproducibility persist, undermining the credibility of published in-print findings. Data-sharing initiatives aim to address these challenges by promoting accessibility and enhancing research reliability. We aimed to assess
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Risk Factors for Amputation and Prolonged Hospitalization Among Children Who Received Traditional Bonesetting in Ethiopia. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-10 Ephrem G Adem,Papa K Morgan-Asiedu,Mengistu G Mengesha,Mario Keko,Chen Mo,Sintayehu Bussa,Eden Alemu,Yishak Zerihun,Habtamu T Derilo,Mahamed Areis,Kaleab T Reda,Wubshet A Workneh,Bahru A Shiferaw,Moa C Jira,Habtamu B Gula,Mulugeta B Geneti,Claude Martin,Kiran J Agarwal-Harding,William J Harrison
BACKGROUND In Ethiopia, orthopaedic services are limited, and many injured children undergo traditional bonesetting (TBS) despite its association with limb- and life-threatening complications. We sought to identify the risk factors for amputation and a prolonged hospitalization of >7 days in children who presented to hospitals after undergoing TBS. METHODS Over a 15-month period, we prospectively enrolled
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Golgi-restored vesicular replenishment retards bone aging and empowers aging bone regeneration Bone Res. (IF 14.3) Pub Date : 2025-02-08 Peisheng Liu, Hao Guo, Xiaoyao Huang, Anqi Liu, Ting Zhu, Chenxi Zheng, Fei Fu, Kaichao Zhang, Shijie Li, Xinyan Luo, Jiongyi Tian, Yan Jin, Kun Xuan, Bingdong Sui
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Clinical, Functional, Sports Participation, and Osteoarthritis Outcomes After ACL Injury: Ten-Year Follow-up Study of the Delaware-Oslo ACL Cohort Treatment Algorithm. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-07 Anouk P Urhausen,Marie Pedersen,Hege Grindem,Naoaki Ito,Elanna K Arhos,Ragnhild Gunderson,Arne Kristian Aune,Lars Engebretsen,Michael J Axe,Karin Grävare Silbernagel,Inger Holm,Lynn Snyder-Mackler,May Arna Risberg
BACKGROUND Anterior cruciate ligament reconstruction (ACLR) is often recommended for treatment of an ACL injury; however, the literature reports similar outcomes for those undergoing rehabilitation alone. We assessed the clinical, functional, sports participation, and osteoarthritis outcomes following our treatment algorithm, and compared 10-year outcomes among participants who chose progressive rehabilitation
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Thessaly Graft Index: An Artificial Intelligence-Based Index for the Assessment of Graft Integrity in ACL-Reconstructed Knees. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-07 Georgios Chalatsis,Athanasios Siouras,Vasileios Mitrousias,Ilias Chantes,Serafeim Moustakidis,Dimitris Tsaopoulos,Marianna Vlychou,Sotiris Tasoulis,Michael Hantes
BACKGROUND Magnetic resonance imaging (MRI) has proven to be a valuable noninvasive tool to evaluate graft integrity after anterior cruciate ligament (ACL) reconstruction. However, MRI protocols and interpretation methodologies are quite diverse, preventing comparisons of signal intensity across subsequent scans and independent investigations. The purpose of this study was to create an artificial intelligence
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Sagittal Spinal Profile in Patients with Lumbosacral Hemivertebra: Preoperative Status and Postoperative Evolution at a Mean Follow-up of 7.5 Years. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-06 Zhuosong Bai,Haoran Zhang,Yuechuan Zhang,Tongyin Zhang,Xiangjie Yin,Yunze Han,Yiqiao Zhang,Qianyu Zhuang,Jianguo Zhang
BACKGROUND A lumbosacral hemivertebra (LSHV) presents a complex challenge in treating congenital scoliosis. Previous studies have proven the effectiveness of posterior LSHV resection. However, they have primarily focused on coronal balance, neglecting the sagittal alignment, which is crucial for spinal function. The aim of this retrospective study was to assess preoperative sagittal imbalance in patients
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What's Important: When Humor Goes Wrong. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-06 Christopher P Chiodo,Giovanna C Kalin,Emily B Parker,James D Kang
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Strategies to Promote Health Equity for Orthopaedic Surgery Patients Who Speak a Language Other Than English. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-06 Rodnell Busigó Torres,Patricia Rodarte,Lauren M Shapiro,Victor H Hernandez,Ronald A Navarro,Brocha Z Stern
The growing linguistic diversity in the United States presents substantial challenges to equitable health-care delivery. This article outlines strategies to promote health equity for orthopaedic surgery patients who speak a language other than English, including supporting the accessibility of professional interpreter services, enhancing language-specific patient educational resources, ensuring equity
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Can We Accurately Predict Adult Height in Pediatric Patients Who Undergo Treatment for Sarcoma? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-06 Brian Prigmore,Sarah E Lindsay,Anna Agloro,Yee-Cheen Doung,Kenneth R Gundle,James B Hayden,Duncan C Ramsey
BACKGROUND Sarcoma and its treatment has the potential to limit adult height attainment in skeletally immature patients. However, evidence on the extent of this limitation in sarcoma specifically is mixed, and existing height prediction tools such as the Paley multiplier method have proven unreliable in this setting. As such, orthopaedic surgeons are left with the challenge of counseling patients and
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CD177, MYBL2, and RRM2 Are Potential Biomarkers for Musculoskeletal Infections. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-06 Taiwo Samuel Agidigbi,Brianna Fram,Ilda Molloy,Matthew Riedel,Daniel Wiznia,Irvin Oh
BACKGROUND Biomarkers of infection are measurable indicators that reflect the presence of an infection in the body. They are particularly valuable for detecting infections and tracking treatment responses. Previous transcriptome analysis of peripheral blood mononuclear cells (PBMCs) collected from patients during the active phase of diabetic foot infection identified the upregulation of several genes
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Modern Management of Severe Open Fractures of the Extremities: The Role of the Induced Membrane Technique. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-05 Nikolaos K Kanakaris,Paul Rodham,Vasileios P Giannoudis,Peter V Giannoudis
➢ The administration of antibiotics, revascularization, effective initial debridement, stabilization, and dead-space management are important time-dependent, acute actions.➢ Following the adequate resuscitation of the patient and the local soft tissues, the first stage of the Masquelet technique is performed together with the definitive coverage of the soft-tissue defect.➢ The optimal time for the
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Pregnancy and Childbearing for Orthopaedic Surgeons: Challenges and Successful Support Initiatives. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-05 Caroline Cristofaro,Maryse Bouchard
While female representation within surgical specialties is increasing, the field of orthopaedic surgery remains male-dominated. Residency, fellowship, and early career coincide with the childbearing years of female surgeons. Given the overlap between these critical career stages and years of childbearing, there has been a rise in articles characterizing the experiences and perceptions around childbearing
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Long-Term Results of the Birmingham Hip Resurfacing Implant in the United States: An Updated Analysis of a Single Institution's Experience. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-05 William A Zuke,Charles P Hannon,Rondek Salih,Joseph Kromka,Caroline Granger,John C Clohisy,Robert L Barrack
BACKGROUND We previously reported the 5-year results of the Birmingham Hip Resurfacing (BHR) implant. This study evaluates BHR survivorship as well as radiographic and clinical outcomes at long-term follow-up. METHODS A total of 224 patients with contemporary indications, including 179 patients from the original study, were included in this analysis. Survivorship was calculated. Metal ion levels and
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CORR Insights®: Hip-Spine Relationship in Femoroacetabular Impingement: Does Hip Arthroscopy Affect Pelvic Mobility? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-05 George Grammatopoulos
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Outpatient Revision TKA Does Not Increase Incidence of Repeat Revision or Medical and Surgical Complications Compared With Inpatient Revision TKA. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-05 Kevin D Plancher,Carlo Mannina,Elias Schwartz,Karen K Briggs,Stephanie C Petterson
BACKGROUND The incidence of revision TKA is escalating. The safety and efficacy of performing revision TKA in an outpatient setting is important given this increased demand. QUESTIONS/PURPOSES (1) Are patients who undergo revision TKA in an outpatient setting more likely to undergo a repeat revision within 1 year compared with patients undergoing revision TKA in an inpatient setting? (2) Are patients
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What Is the Survivorship of TKA With a Twin-peg or Spikes-and-keel Cementless Implant Compared With Cemented? A Registry-based Cohort Study. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-05 Foster Chen,Richard N Chang,Heather A Prentice,Brian H Fasig,Elizabeth W Paxton,Kevin T Hug,Matthew P Kelly
BACKGROUND Use of cementless TKA has grown after encouraging data from contemporary implants. Yet registry studies have shown inferior survivorship of cementless fixation when treated as a monolithic class aggregating contemporary and historic designs. Two contemporary cementless TKA designs with distantly different fixation strategies have emerged in the last 2 decades, mostly focused on tibial fixation:
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Is Your Surgical Helmet System Compromising the Sterile Field? A Systematic Review of Contamination Risks and Preventive Measures in Total Joint Arthroplasty. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-05 Joshua R Porto,Monish S Lavu,Christian J Hecht,Atul F Kamath
BACKGROUND Surgical helmet systems remain widely used in total joint arthroplasty (TJA) despite evidence to suggest that they may increase infection risk via contamination of sterile equipment and operating room air. However, the challenging nature of conducting high-quality clinical trials to study outcomes with low incidence, such as prosthetic joint infection (PJI), has made drawing definitive conclusions
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A New Measure of Quantified Social Health Is Associated With Levels of Discomfort, Capability, and Mental and General Health Among Patients Seeking Musculoskeletal Specialty Care. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-05 Niels Brinkman,Melle Broekman,Teun Teunis,Seung Choi,David Ring,Prakash Jayakumar
BACKGROUND A better understanding of the correlation between social health and mindsets, comfort, and capability could aid the design of individualized care models. However, currently available social health checklists are relatively lengthy, burdensome, and designed for descriptive screening purposes rather than quantitative assessment for clinical research, patient monitoring, or quality improvement
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Clinical Faceoff: The Role of Elective Bilateral Lower Limb Lengthening for Gaining Height. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-05 Sanjeev Sabharwal,Dror Paley,John Birch
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CORR Synthesis: What Is the Impact of Frailty on Postoperative Complications After Spinal Surgery? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-05 Anant Tewari,Stephen D Lockey
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CORR Insights®: Does Merit-based Incentive Payment System Performance Differ Based on Orthopaedic Surgeon Gender? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-05 Wakenda K Tyler
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Relation of pain sensitization to knee loading during walking in people with knee osteoarthritis Osteoarthr. Cartil. (IF 7.2) Pub Date : 2025-02-04 Ehyun Kim, Tuhina Neogi, Soyoung Lee, Deepak Kumar
To examine the association of pain sensitization with knee joint loading during walking in people with knee osteoarthritis (OA).
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Residency Diary: What My Attending Taught Me. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-04 Lisa G M Friedman
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Art in Science: Molding Deformities, Then and Now. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-04 Stuart A Green
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CORR Insights®: Contralateral THAs More Than 1 Year Apart: Do PROMs and Healthcare Utilization Differ After Each Procedure? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-04 David S Jevsevar
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How Do Patients Perceive Success and Satisfaction After Vertebral Body Tethering and Fusion for Adolescent Idiopathic Scoliosis? A Qualitative Study. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-04 Lisa A Royse,Dinara Saparova,Melanie E Boeyer,Daniel G Hoernschemeyer
BACKGROUND Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among children. Although posterior spinal fusion (PSF) is a commonly used treatment for curves ≥ 45°, anterior vertebral body tethering (VBT) has recently gained traction as an alternative for some patients. Surgeons have established radiographic definitions of success for PSF, with similar efforts underway for VBT
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Editorial: The Goal is Health, Not Surgery. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2025-02-04 David Ring,Seth S Leopold
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Sclerotic Bone Adversely Affects Anti-Tuberculosis Drug Distribution in Patients with Spinal Tuberculosis: A Prospective Cross-Sectional Study. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-03 Guanyin Jiang,Yuchen Tang,Shanlin Xiang,Qiufu Wang,Dezhang Zhao,Xing Du,Jie Hao,Zhenming Hu
BACKGROUND The effects of sclerotic bone on anti-tuberculosis (anti-TB) drug distribution in the blood and in spinal tuberculosis (STB) lesions were investigated. METHODS Fifty-six patients with STB were prospectively enrolled from January 2020 to March 2023 and were divided into 2 groups: a group with sclerotic bone and a group without sclerotic bone, as identified on preoperative computed tomography
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Association Between Surgeon Volume and Patient Outcomes After Elective Patellofemoral Arthroplasty: A Population-Based Cohort Study Using Data from the National Joint Registry and Hospital Episode Statistics for England. J. Bone Joint. Surg. (IF 4.4) Pub Date : 2025-02-03 Martinique Vella-Baldacchino,Andrew Rhys Davies,Alex Bottle,Justin Cobb,Alex D Liddle
BACKGROUND The objective of this study was to determine the relationship between surgical volume and patient outcome after arthroplasty of the patellofemoral joint, to improve patient outcomes and inform future resource planning. METHODS All patellofemoral arthroplasty (PFA) records in the National Joint Registry from January 2003 to December 2021 were linked to the Hospital Episode Statistics database
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Preventing pressure sores after hip fracture. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Matt L Costa,Clare Greenwood,Jane Nixon
Hip fractures commonly occur in older patients, with high levels of frailty and comorbidity. Many of these patients have limited mobility before their fracture, and even after surgery, their mobility may remain limited. It is therefore not surprising that they are at a high risk of developing pressure sores, particularly on their heels, and a variety of devices and interventions have been proposed
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The impact of acetabular revision in revision total hip arthroplasty for a Vancouver B2 fracture requiring a change of femoral component. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Codrin Popa,Marie Le Baron,Émile Dobelle,Xavier Flecher,Solène Prost,Matthieu Ollivier,Jean-Noel Argenson,Christophe Jacquet
Aims The aim of this study was to assess the necessity of revising the acetabular component in revision total hip arthroplasty (THA) in patients with a Vancouver type B2 periprosthetic femoral fracture (PFF) who require revision of the femoral component. The hypothesis was that revision of both the acetabular and femoral components and using a dual-mobility acetabular component would provide a lower
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Identifying consensus and areas for future research in chondrosarcoma : a report from the Birmingham Orthopaedic Oncology Meeting. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Lee M Jeys,Guy V Morris,Vineet J Kurisunkal,Eduardo Botello,Richard A Boyle,Walid Ebeid,Matthew T Houdek,Ajay Puri,Pietro Ruggieri,Bernadette Brennan,,Minna K Laitinen
Aims The Birmingham Orthopaedic Oncology Meeting (BOOM), held in January 2024, convened 309 delegates from 53 countries to discuss and refine 21 consensus statements on the optimal management of chondrosarcoma. Methods With representation from Europe (43%; n = 133), North America (17%; n = 53), South America (16%; n = 49), Asia (13%; n = 40), Australasia (5%; n = 16), the Middle East (4%; n = 12),
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Acetabular component position significantly influences the rebalancing of pelvic sagittal inclination following total hip arthroplasty in patients with Crowe type III/IV developmental dysplasia of the hip. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Han Du,Han Qiao,Zan-Jing Zhai,Jing-Wei Zhang,Hui-Wu Li,Yuan-Qing Mao,Zhen-An Zhu,Jie Zhao,De-Gang Yu,Chang-Qing Zhao
Aims Sagittal lumbar pelvic alignment alters with posterior pelvic tilt (PT) following total hip arthroplasty (THA) for developmental dysplasia of the hip (DDH). The individual value of pelvic sagittal inclination (PSI) following rebalancing of lumbar-pelvic alignment is unknown. In different populations, PT regresses in a linear relationship with pelvic incidence (PI). PSI and PT have a direct relationship
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Spontaneous recovery in the majority of stable dysplastic hips treated with active surveillance. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Wesley W E S Theunissen,Marieke C van der Steen,Thom Klerkx,Charlotte Schonck,Arnold T Besselaar,Florence Q M P van Douveren,Jaap J Tolk
Aims Worldwide controversy exists on the optimal treatment of stable dysplastic hips. The most common treatment options are abduction brace treatment and active surveillance. The primary aim of this study was to assess the effect of active surveillance in stable hip dysplasia, by investigating the percentage of Graf IIb stable dysplastic hips that recover spontaneously without abduction brace treatment
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CT-based migration analysis of a tibial component compared to radiostereometric analysis : one-year results of a prospective single-group implant safety study. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Lars H W Engseth,Frank-David Øhrn,Anselm Schulz,Stephan M Röhrl
Aims Radiostereometric analysis (RSA) is considered the gold standard for in vivo migration analysis, but CT-based alternatives show comparable results in the shoulder and hip. We have previously validated a CT-based migration analysis method (CTMA) in a knee phantom compared to RSA. In this study, we validated the method in patients undergoing total knee arthroplasty (TKA). Our primary outcome measure
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Two-stage revision for infection of oncological megaprostheses : a multicentre EMSOS study. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Andrea Sambri,Domenico A Campanacci,Elisa Pala,Maria A Smolle,Davide M Donati,Michiel A J van de Sande,Oleg Vyrva,Andreas Leithner,Lee Jeys,Pietro Ruggieri,Massimiliano De Paolis,,,Michele Fiore,Marta Bortoli,Alessandro Bruschi,Elisabetta Neri,Diogo Catelas,Vania Oliveira,Marko Bergovec,Korhan Özkan,Aykut Çelik,Erhan Okay,Luca Cevolani,Robert V der Wal,Richard Evenhuis,Minna Laitinen,Roman Malik,Andreas
Aims The aim of this study was to assess the incidence of reinfection in patients after two-stage revision of an infected megaprosthesis (MPR) implanted after resection of a bone tumour. Methods A retrospective study was carried out of 186 patients from 16 bone sarcoma centres treated between January 2010 and December 2020. The median age at the time of tumour diagnosis was 26 years (IQR 17 to 33);
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Prevalence of complications in older adults after hip fracture surgery : a systematic review and meta-analysis. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 En Lin Goh,Amulya Khatri,Alexander B Costa,Andrew Ting,Kat Steiner,May Ee Png,David Metcalfe,Jonathan A Cook,Matthew L Costa
Aims Older adults with hip fractures are at high risk of experiencing complications after surgery, but estimates of the rate of specific complications vary by study design and follow-up period. The aim of this systematic review was to determine the prevalence of complications in older adults after hip fracture surgery. Methods MEDLINE, Embase, CINAHL, and CENTRAL databases were searched from inception
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Deep learning for automated hip fracture detection and classification : achieving superior accuracy. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Zhiqian Zheng,Byeong Y Ryu,Sung E Kim,Dae S Song,Seong H Kim,Jung-Wee Park,Du H Ro
Aims The aim of this study was to develop and evaluate a deep learning-based model for classification of hip fractures to enhance diagnostic accuracy. Methods A retrospective study used 5,168 hip anteroposterior radiographs, with 4,493 radiographs from two institutes (internal dataset) for training and 675 radiographs from another institute for validation. A convolutional neural network (CNN)-based
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3D fracture assessment could be predictive of native hip survival after nonoperative treatment of acetabular fractures. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Neeltje M Trouwborst,Miriam G E Oldhoff,Kaj Ten Duis,Sven H van Helden,Erik Hermans,Ruurd L Jaarsma,Esther M M van Lieshout,Inge H F Reininga,Tjarda N Tromp,Michael H J Verhofstad,Jean-Paul P M de Vries,Mathieu M E Wijffels,Anne M L Meesters,Frank F A IJpma
Aims The aim of the study was to apply 3D measurements for fracture displacement in minimally to moderately displaced acetabular fractures treated nonoperatively, and to evaluate whether this measurement can be used to estimate the likelihood of conversion to total hip arthroplasty (THA) at follow-up. Methods A multicentre, cross-sectional study was performed on 144 patients who were treated nonoperatively
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Incidence trends and risk factors for Perthes' disease in children born between 1985 and 2016 : a Danish nationwide register-based study. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Paula L Hedley,Ulrik Lausten-Thomsen,Kristin M Conway,Klaus Hindsø,Paul A Romitti,Michael Christiansen
Aims In this study, we aimed to evaluate incidence trends and potential risk factors associated with Perthes' disease in Denmark, using publicly available data. Methods Our population-based case-control study used data from the Danish National Patient Register and Danish Civil Registration System, accessed through the publicly available Danish Biobank Register, to identify 1,924,292 infants born between
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Evaluating polyethylene, polyether-ether-ketone, and metal-on-metal locking mechanism survival in Modular Universal Tumour and Revision System knee reconstructions for oncological indications : insights from the MUTARS Orthopedic Registry Europe. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Richard E Evenhuis,Michaël P A Bus,Joao van Nes,Sebastian G Walter,Jorge Cabrolier,Marta Fiocco,Robert J P van der Wal,Demien Broekhuis,Simen Sellevold,Michiel A J van de Sande
Aims Over time, the locking mechanism of Modular Universal Tumour and Revision System (MUTARS) knee arthroplasties changed from polyethylene (PE) to polyether-ether-ketone Optima (PEEK) and metal-on-metal (MoM) in an attempt to reduce the risk of mechanical failure. In this study, we aimed to assess the cumulative incidence of locking mechanism revision for symptomatic instability by type of material
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Bony integration of a hybrid glenoid component in anatomical shoulder arthroplasty : short-term CT scan analysis. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 Hugo Barret,Joris Tiercelin,Arnaud Godenèche,Christophe Charousset,Stephane Audebert,Yves Lefebvre,David Gallinet,Johannes Barth,,Nicolas Bonnevialle
Aims Loosening of the glenoid component in the long term remains an important complication of the anatomical total shoulder arthroplasty (aTSA). The aim of this study was to explore the bony integration of a hybrid glenoid component based on an analysis of CT scans. Methods In a prospective multicentre study, patients who underwent primary aTSA, whose hybrid design of glenoid component included a fully-polyethylene
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Tossed around in a stormy sea : regulation, market forces, and changes to implants. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 James T Patton,Fares S Haddad
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Facilitating clinical trials in hip fracture in the UK : the role and potential of the National Hip Fracture Database and routinely collected data. Bone Joint J. (IF 4.9) Pub Date : 2025-02-01 James Webster,Raphael Goldacre,Jennifer C E Lane,Marion Mafham,Marion K Campbell,Antony Johansen,Xavier L Griffin
Aims The aim of this study was to evaluate the suitability, against an accepted international standard, of a linked hip fracture registry and routinely collected administrative dataset in England to embed and deliver randomized controlled trials (RCTs). Methods First, a bespoke cohort of individuals sustaining hip fractures between 2011 and 2016 was generated from the National Hip Fracture Database