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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
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Triplane ankle fracture patterns in paediatric patients. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Jasper Prijs,Jaideep Rawat,Kaj Ten Duis,Frank F A IJpma,Job N Doornberg,Bhavin Jadav,Ruurd L Jaarsma
Aims Triplane ankle fractures are complex injuries typically occurring in children aged between 12 and 15 years. Classic teaching that closure of the physis dictates the overall fracture pattern, based on studies in the 1960s, has not been challenged. The aim of this paper is to analyze whether these injuries correlate with the advancing closure of the physis with age. Methods A fracture mapping study
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Effect of using a small baseplate on the radiological and clinical outcomes of reverse total shoulder arthroplasty in Asian patients. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Jae S Kim,Seung H Kim,Su C Kim,Jong H Park,Hyun G Kim,Sang M Lee,Jae C Yoo
Aims The aim of this study was to compare the clinical and radiological outcomes of reverse shoulder arthroplasty (RSA) using small and standard baseplates in Asian patients, and to investigate the impact of a mismatch in the sizes of the glenoid and the baseplate on the outcomes. Methods This was retrospective analysis of 50 and 33 RSAs using a standard (33.8 mm, ST group) and a small (29.5 mm, SM
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Solitary versus multiple bone metastases in the appendicular skeleton. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Thea H Ladegaard,Michala S Sørensen,Michael M Petersen
Aims We first sought to compare survival for patients treated surgically for solitary and multiple metastases in the appendicular skeleton, and second, to explore the role of complete and incomplete resection (R0 and R1/R2) in patients with a solitary bony metastasis in the appendicular skeleton. Methods We conducted a retrospective study on a population-based cohort of all adult patients treated surgically
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Prevalence of post-traumatic osteoarthritis after anterior cruciate ligament injury remains high despite advances in surgical techniques. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Rasmus Liukkonen,Matias Vaajala,Ville M Mattila,Aleksi Reito
Aims The aim of this study was to report the pooled prevalence of post-traumatic osteoarthritis (PTOA) and examine whether the risk of developing PTOA after anterior cruciate ligament (ACL) injury has decreased in recent decades. Methods The PubMed and Web of Science databases were searched from 1 January 1980 to 11 May 2022. Patient series, observational studies, and clinical trials having reported
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Factors associated with survival in patients with clear cell sarcoma. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Tomohiro Fujiwara,Toshiyuki Kunisada,Eiji Nakata,Toshiharu Mitsuhashi,Toshifumi Ozaki,Akira Kawai
Aims Clear cell sarcoma (CCS) of soft-tissue is a rare melanocytic subtype of mesenchymal malignancy. The aim of this study was to investigate the clinical and therapeutic factors associated with increased survival, stratified by clinical stage, in order to determine the optimal treatment. Methods The study was a retrospective analysis involving 117 patients with histologically confirmed CCS, between
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Cemented versus uncemented hemiarthroplasty for displaced intracapsular fractures of the hip. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Martyn J Parker,Reuben Chatterjee,Mohamed Onsa,Shirley Cawley,Kurinchi Gurusamy
Aims The aim of this study was to report the three-year follow-up for a series of 400 patients with a displaced intracapsular fracture of the hip, who were randomized to be treated with either a cemented polished tapered hemiarthroplasty or an uncemented hydroxyapatite-coated hemiarthroplasty. Methods The mean age of the patients was 85 years (58 to 102) and 273 (68%) were female. Follow-up was undertaken
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Intraosseous regional prophylaxis in total knee arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Simon W Young,William Chen,Henry D Clarke,Mark J Spangehl
Prophylactic antibiotics are important in reducing the risk of periprosthetic joint infection (PJI) following total knee arthroplasty. Their effectiveness depends on the choice of antibiotic and the optimum timing of their administration, to ensure adequate tissue concentrations. Cephalosporins are typically used, but an increasing number of resistant organisms are causing PJI, leading to the additional
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The challenge of evaluating our surgical procedures. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Fares S Haddad
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Increased ankle pain after total knee arthroplasty is associated with a preoperative lateralized gait and talar tilt, but not with ankle laxity or the range of motion of the subtalar joint. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Marlene Rühling,Stephanie M Kirschbaum,Carsten Perka,Frank Graef
Aims Total knee arthroplasty (TKA) may provoke ankle symptoms. The aim of this study was to validate the impact of the preoperative mechanical tibiofemoral angle (mTFA), the talar tilt (TT) on ankle symptoms after TKA, and assess changes in the range of motion (ROM) of the subtalar joint, foot posture, and ankle laxity. Methods Patients who underwent TKA from September 2020 to September 2021 were prospectively
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Effect of oral nutritional supplementation on outcomes in older adults with hip fractures and factors influencing compliance. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Bin Chen,Jia H Zhang,Andrew D Duckworth,Nick D Clement
Aims Hip fractures are a major cause of morbidity and mortality, and malnutrition is a crucial determinant of these outcomes. This meta-analysis aims to determine whether oral nutritional supplementation (ONS) improves postoperative outcomes in older patients with a hip fracture. Methods A systematic literature search was conducted in August 2022. ONS was defined as high protein-based diet strategies
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No difference in component migration at five years between the cemented cruciate-retaining ATTUNE and PFC-Sigma knee prosthesis: an update of a randomized clinical radiostereometry trial. Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Yasin Yüksel,Lennard A Koster,Bart L Kaptein,Rob G H H Nelissen,Peter den Hollander
Aims Conflicting clinical results are reported for the ATTUNE Total Knee Arthroplasty (TKA). This randomized controlled trial (RCT) evaluated five-year follow-up results comparing cemented ATTUNE and PFC-Sigma cruciate retaining TKAs, analyzing component migration as measured by radiostereometric analysis (RSA), clinical outcomes, patient-reported outcome measures (PROMs), and radiological outcomes
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Does the time to surgery influence outcomes for patients with a hip fracture who undergo total hip arthroplasty? Bone Joint J. (IF 4.6) Pub Date : 2023-11-01 Luke Farrow,Nick D Clement,Lewis Mitchell,Mariam Sattar,Alasdair M J MacLullich
Aims Surgery is often delayed in patients who sustain a hip fracture and are treated with a total hip arthroplasty (THA), in order to await appropriate surgical expertise. There are established links between delay and poorer outcomes in all patients with a hip fracture, but there is little information about the impact of delay in the less frail patients who undergo THA. The aim of this study was to
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Poor adherence to national guidance in the management of patients with metastatic bone disease. Bone Joint J. (IF 4.6) Pub Date : 2023-10-17 Jonathan Stevenson,Paul Cool,Robert Ashford
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Comparison of two hydroxyapatite-coated femoral components: a randomized clinical trial using radiostereometric analysis. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Thomas R Turgeon, Christiaan H Righolt, Colin D Burnell, Trevor C Gascoyne, David R Hedden, Eric R Bohm
The primary aim of this trial was to compare the subsidence of two similar hydroxyapatite-coated titanium femoral components from different manufacturers. Secondary aims were to compare rotational migration (anteversion/retroversion and varus/valgus tilt) and patient-reported outcome measures between both femoral components.
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Cost-utility analysis of dual-antibiotic cement versus single-antibiotic cement for the treatment of displaced intracapsular hip fractures in older adults. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 May Ee Png, Matt Costa, Agni Nickil, Juul Achten, Nicholas Peckham, Mike R Reed
To compare the cost-effectiveness of high-dose, dual-antibiotic cement versus single-antibiotic cement for the treatment of displaced intracapsular hip fractures in older adults.
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Consultant revision hip arthroplasty volumes and new consultant volume trajectories in England, Wales, Northern Ireland, and the Isle of Man. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Richard J Holleyman, Simon S Jameson, Mike Reed, R M D Meek, Vikas Khanduja, Andrew Hamer, Andrew Judge, Tim Board
This study describes the variation in the annual volumes of revision hip arthroplasty (RHA) undertaken by consultant surgeons nationally, and the rate of accrual of RHA and corresponding primary hip arthroplasty (PHA) volume for new consultants entering practice.
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Paediatric hip ultrasound. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Matthew Donnan, Nathan Anderson, Monsurul Hoq, Leo Donnan
The aim of this study was to investigate the agreement in interpretation of the quality of the paediatric hip ultrasound examination, the reliability of geometric and morphological assessment, and the relationship between these measurements.
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The British Orthopaedic Oncology Management (BOOM) audit. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 James E Archer, Govind S Chauhan, Varun Dewan, Khabab Osman, Calum Thomson, Rajpal S Nandra, Robert U Ashford, Paul Cool, , Jonathan Stevenson
Most patients with advanced malignancy suffer bone metastases, which pose a significant challenge to orthopaedic services and burden to the health economy. This study aimed to assess adherence to the British Orthopaedic Oncology Society (BOOS)/British Orthopaedic Association (BOA) guidelines on patients with metastatic bone disease (MBD) in the UK.
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Fusion after a failed primary total ankle arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Toby Jennison, Obioha C Ukoumunne, Sallie Lamb, Ian Sharpe, Andrew J Goldberg
When a total ankle arthroplasty (TAA) fails, it can be converted to a fusion or a revision arthroplasty. Despite the increasing numbers of TAAs being undertaken, there is little information in the literature about the management of patients undergoing fusion following a failed TAA. The primary aim of this study was to analyze the survival of fusions following a failed TAA using a large dataset from
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Effectiveness and safety of arthroscopy combined with radial extracorporeal shockwave therapy for osteochondritis of the talus: a prospective, single-centre, randomized, double-blind study. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Jin Cao, Changgui Zhang, Heqin Huang, Chengchang Zhang, Liu Yang, Xiaojun Duan
Arthroscopic microfracture is a conventional form of treatment for patients with osteochondritis of the talus, involving an area of < 1.5 cm2. However, some patients have persistent pain and limitation of movement in the early postoperative period. No studies have investigated the combined treatment of microfracture and shortwave treatment in these patients. The aim of this prospective single-centre
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Early outcomes of the Exactech Vantage fixed-bearing total ankle replacement. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Jensen K Henry, Isabel Shaffrey, Mark Wishman, Joaquín Palma Munita, Jiaqi Zhu, Elizabeth Cody, Scott Ellis, Jonathan Deland, Constantine Demetracopoulos
The Vantage Total Ankle System is a fourth-generation low-profile fixed-bearing implant that has been available since 2016. We aimed to describe our early experience with this implant.
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Risk factors for blood transfusion and postoperative anaemia following total knee arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 David A Kolin, Peter K Sculco, Alejandro Gonzalez Della Valle, Jose A Rodriguez, Michael P Ast, Brian P Chalmers
Blood transfusion and postoperative anaemia are complications of total knee arthroplasty (TKA) that are associated with substantial healthcare costs, morbidity, and mortality. There are few data from large datasets on the risk factors for these complications.
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Anterior cruciate ligament injuries in female athletes. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Fabio Mancino, Ayman Gabr, Ricci Plastow, Fares S Haddad
The anterior cruciate ligament (ACL) is frequently injured in elite athletes, with females up to eight times more likely to suffer an ACL tear than males. Biomechanical and hormonal factors have been thoroughly investigated; however, there remain unknown factors that need investigation. The mechanism of injury differs between males and females, and anatomical differences contribute significantly to
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Contemporary outcomes of tibial tubercle osteotomy for revision total knee arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Nicolas Cance, Cécile Batailler, Jobe Shatrov, Robin Canetti, Elvire Servien, Sébastien Lustig
Tibial tubercle osteotomy (TTO) facilitates surgical exposure and protects the extensor mechanism during revision total knee arthroplasty (rTKA). The purpose of this study was to determine the rates of bony union, complications, and reoperations following TTO during rTKA, to assess the functional outcomes of rTKA with TTO at two years' minimum follow-up, and to identify the risk factors of failure
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Vitamin E-diffused liners show less head penetration than cross-linked polyethylene liners in total hip arthroplasty: a ten-year multi-arm randomized trial. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Joseph A N El-Sahoury, Kristian Kjærgaard, Ole Ovesen, Christian Hofbauer, Søren Overgaard, Ming Ding
The primary outcome was investigating differences in wear, as measured by femoral head penetration, between cross-linked vitamin E-diffused polyethylene (vE-PE) and cross-linked polyethylene (XLPE) acetabular component liners and between 32 and 36 mm head sizes at the ten-year follow-up. Secondary outcomes included acetabular component migration and patient-reported outcome measures (PROMs) such as
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Intraoperative cell salvage in revision hip arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-10-01 Thomas J Walton, Daniel Huntley, Sarah L Whitehouse, Jennifer Davies, Matthew J Wilson, Matthew J W Hubble, Jonathan R Howell, A M Kassam
The aim of this study was to perform a systematic review of the evidence for the use of intraoperative cell salvage in patients undergoing revision hip arthroplasty, and specifically to analyze the available data in order to quantify any associated reduction in the use of allogenic blood transfusion, and the volume which is used.
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Can CT-based gap and step-off displacement predict outcome after nonoperative treatment of acetabular fractures? Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Neeltje M Trouwborst, Kaj Ten Duis, Hester Banierink, Job N Doornberg, Sven H van Helden, Erik Hermans, Esther M M van Lieshout, Robert Nijveldt, Tjarda Tromp, Vincent M A Stirler, Michael H J Verhofstad, Jean Paul P M de Vries, Mathieu M E Wijffels, Inge H F Reininga, Frank F A IJpma
The aim of this study was to investigate the association between fracture displacement and survivorship of the native hip joint without conversion to a total hip arthroplasty (THA), and to determine predictors for conversion to THA in patients treated nonoperatively for acetabular fractures.
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Four weeks versus six weeks of immobilization in a cast following closed reduction for displaced distal radial fractures in adult patients: a multicentre randomized controlled trial. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Eva A K van Delft, Suus G J van Bruggen, Karlijn J van Stralen, Frank W Bloemers, Nico L Sosef, Niels W L Schep, Jefrey Vermeulen
There is no level I evidence dealing with the optimal period of immobilization for patients with a displaced distal radial fracture following closed reduction. A shorter period might lead to a better functional outcome due to less stiffness and pain. The aim of this study was to investigate whether this period could be safely reduced from six to four weeks.
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Delaying anterior cruciate ligament reconstruction increases the rate and severity of medial chondral injuries. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Nicolas Cance, Julien Erard, Jobe Shatrov, Gaspard Fournier, Stanislas Gunst, Guillaume L Martin, Sébastien Lustig, Elvire Servien
The aim of this study was to evaluate the association between chondral injury and interval from anterior cruciate ligament (ACL) tear to surgical reconstruction (ACLr).
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Standardization of global hip fracture audit could facilitate learning, improve quality, and guide evidence-based practice. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Antony Johansen, Andrew J Hall, Cristina Ojeda-Thies, Arwel T Poacher, Matthew L Costa
National hip fracture registries audit similar aspects of care but there is variation in the actual data collected; these differences restrict international comparison, benchmarking, and research. The Fragility Fracture Network (FFN) published a revised minimum common dataset (MCD) in 2022 to improve consistency and interoperability. Our aim was to assess compatibility of existing registries with the
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Robotic Arm-assisted versus Manual (ROAM) total knee arthroplasty: a randomized controlled trial. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Nick D Clement, Steven Galloway, Y Jenny Baron, Karen Smith, David J Weir, David J Deehan
The primary aim was to assess whether robotic total knee arthroplasty (rTKA) had a greater early knee-specific outcome when compared to manual TKA (mTKA). Secondary aims were to assess whether rTKA was associated with improved expectation fulfilment, health-related quality of life (HRQoL), and patient satisfaction when compared to mTKA.
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Birmingham Hip Resurfacing at 20 years. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Rohit Dhawan, David A Young, Anthony Van Eemeren, Andrew Shimmin
The Birmingham Hip Resurfacing (BHR) arthroplasty has been used as a surgical treatment of coxarthrosis since 1997. We present 20-year results of 234 consecutive BHRs performed in our unit.
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Anterosuperior versus deltopectoral approach for primary reverse total shoulder arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Arno A Macken, Arnela Haagmans-Suman, Anneke van Spekenbrink-Spooren, Arthur van Noort, Michel P J van den Bekerom, Denise Eygendaal, Geert A Buijze
The current evidence comparing the two most common approaches for reverse total shoulder arthroplasty (rTSA), the deltopectoral and anterosuperior approach, is limited. This study aims to compare the rate of loosening, instability, and implant survival between the two approaches for rTSA using data from the Dutch National Arthroplasty Registry with a minimum follow-up of five years.
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Time to return to work by occupational class after total hip or knee arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Tamara Kamp, Maaike G J Gademan, Sander K R van Zon, Rob G H H Nelissen, Thea P M Vliet Vlieland, Martin Stevens, Sandra Brouwer
For the increasing number of working-age patients undergoing total hip or total knee arthroplasty (THA/TKA), return to work (RTW) after surgery is crucial. We investigated the association between occupational class and time to RTW after THA or TKA.
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Cauda equina syndrome. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Ingrid Hoeritzauer, Mhairi Paterson, Aimun A B Jamjoom, Nisaharan Srikandarajah, Hamzah Soleiman, Michael T C Poon, Phillip C Copley, Catriona Graves, Sinead MacKay, Charis Duong, Andraay H C Leung, Niall Eames, Patrick F X Statham, Stacey Darwish, Philip J Sell, Paul Thorpe, Himanshu Shekhar, Holly Roy, Julie Woodfield
Patients with cauda equina syndrome (CES) require emergency imaging and surgical decompression. The severity and type of symptoms may influence the timing of imaging and surgery, and help predict the patient's prognosis. Categories of CES attempt to group patients for management and prognostication purposes. We aimed in this study to assess the inter-rater reliability of dividing patients with CES
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Annual incidence and assessment of risk factors for early-onset deep surgical site infection following primary total knee arthroplasty in osteoarthritis. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Jonathan Bourget-Murray, Sophie Piroozfar, Christopher Smith, Jennifer Ellison, Rohit Bansal, Rajrishi Sharma, Nathan Evaniew, Andrew Johnson, James N Powell
This study aims to determine difference in annual rate of early-onset (≤ 90 days) deep surgical site infection (SSI) following primary total knee arthroplasty (TKA) for osteoarthritis, and to identify risk factors that may be associated with infection.
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Patient-related risk factors associated with poorer outcomes following total ankle arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-09-01 Zaki Arshad, Ibrahim I Haq, Maneesh Bhatia
This scoping review aims to identify patient-related factors associated with a poorer outcome following total ankle arthroplasty (TAA).
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Vancomycin powder in total joint replacement. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Fabio Mancino,Vanya Gant,Dominic R M Meek,Fares S Haddad
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The importance of anaemia in orthopaedic surgery. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Michael Kelly,Scarlett A McNally,Jugdeep K Dhesi
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How common are refractures in childhood? Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Sofia Amilon, Carl Bergdahl, Ebba Fridh, Torsten Backteman, Jan Ekelund, David Wennergren
The aim of this study was to describe the incidence of refractures among children, following fractures of all long bones, and to identify when the risk of refracture decreases.
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Outcomes in Ankle Replacement Study (OARS). Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Toby O Smith, Jack Dainty, David T Loveday, Andoni Toms, Andrew J Goldberg, Laura Watts, Mark W Pennington, Jill Dawson, Jan van der Meulen, Alexander J MacGregor
The aim of this study was to capture 12-month outcomes from a representative multicentre cohort of patients undergoing total ankle arthroplasty (TAA), describe the pattern of patient-reported outcome measures (PROMs) at 12 months, and identify predictors of these outcome measures.
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Long-term implant survival following hemiarthroplasty for fractured neck of femur. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Ben Tyas, Martin Marsh, Richard de Steiger, Michelle Lorimer, Timothy G Petheram, Dominic S Inman, Mike R Reed, Simon S Jameson
Several different designs of hemiarthroplasty are used to treat intracapsular fractures of the proximal femur, with large variations in costs. No clinical benefit of modular over monoblock designs has been reported in the literature. Long-term data are lacking. The aim of this study was to report the ten-year implant survival of commonly used designs of hemiarthroplasty.
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Pregnancy, parenthood, and fertility in the orthopaedic surgeon. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Catrin Morgan, Lily Li, Pragna R Kasetti, Ria Varma, Alexander D Liddle
As an increasing number of female surgeons are choosing orthopaedics, it is important to recognize the impact of pregnancy within this cohort. The aim of this review was to examine common themes and data surrounding pregnancy, parenthood, and fertility within orthopaedics.
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Single-step ultra-purified alginate gel implantation in patients with knee chondral defects. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Tomohiro Onodera, Daisuke Momma, Masatake Matsuoka, Eiji Kondo, Koji Suzuki, Masayuki Inoue, Masaki Higano, Norimasa Iwasaki
Implantation of ultra-purified alginate (UPAL) gel is safe and effective in animal osteochondral defect models. This study aimed to examine the applicability of UPAL gel implantation to acellular therapy in humans with cartilage injury.
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A comprehensive nonoperative treatment protocol for developmental dysplasia of the hip in infants. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Catharine S Bradley, Yashvi Verma, Connor L Maddock, John H Wedge, Martin F Gargan, Simon P Kelley
Brace treatment is the cornerstone of managing developmental dysplasia of the hip (DDH), yet there is a lack of evidence-based treatment protocols, which results in wide variations in practice. To resolve this, we have developed a comprehensive nonoperative treatment protocol conforming to published consensus principles, with well-defined a priori criteria for inclusion and successful treatment.
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A prospective radiostereometric analysis of the stability of a metal-backed glenoid component/autograft composite in reverse shoulder arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Lindsay J Cunningham, Mike Walton, Steve Bale, Ian A Trail
Reverse total shoulder arthroplasty (rTSA) can be used in complex cases when the glenoid requires reconstruction. In this study, a baseplate with composite bone autograft and a central trabecular titanium peg was implanted, and its migration was assessed for two years postoperatively using radiostereometric analysis (RSA).
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Five-year mortality after traumatic central cord syndrome in Wales. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Alexandra L Stanley, Tyler J Jones, Davor Dasic, Siva Kakarla, Sridhar Kolli, Swaroop Shanbhag, Michael J H McCarthy
Traumatic central cord syndrome (CCS) typically follows a hyperextension injury and results in motor impairment affecting the upper limbs more than the lower, with occasional sensory impairment and urinary retention. Current evidence on mortality and long-term outcomes is limited. The primary aim of this study was to assess the five-year mortality of CCS, and to determine any difference in mortality
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Total femoral arthroplasty for non-oncological indications. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 James Murray, Rathan Jeyapalan, Michael Davies, Ciara Sheehan, Michael Petrie, Tim Harrison
Total femoral arthroplasty (TFA) is a rare procedure used in cases of significant femoral bone loss, commonly from cancer, infection, and trauma. Low patient numbers have resulted in limited published work on long-term outcomes, and even less regarding TFA undertaken for non-oncological indications. The aim of this study was to evaluate the long-term clinical outcomes of all TFAs in our unit.
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Assessment of progression and clinical relevance of stress-shielding around press-fit radial head arthroplasty. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Giuseppe Giannicola, Andrea Amura, Pasquale Sessa, Sebastien Prigent, Gianluca Cinotti
The aim of this study was to analyze how proximal radial neck resorption (PRNR) starts and progresses radiologically in two types of press-fit radial head arthroplasties (RHAs), and to investigate its clinical relevance.
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Telehealth for a better service delivery in orthopaedic surgery. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Tarani S P Grandhi, Andreas Fontalis, Rhody D Raj, Woo J Kim, Dia E Giebaly, Fares S Haddad
Telehealth has the potential to change the way we approach patient care. From virtual consenting to reducing carbon emissions, costs, and waiting times, it is a powerful tool in our clinical armamentarium. There is mounting evidence that remote diagnostic evaluation and decision-making have reached an acceptable level of accuracy and can safely be adopted in orthopaedic surgery. Furthermore, patients'
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SIRVA: Shoulder injury related to vaccine administration. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Paul J Jenkins, Andrew D Duckworth
Shoulder injury related to vaccine administration (SIRVA) is a prolonged episode of shoulder dysfunction that commences within 24 to 48 hours of a vaccination. Symptoms include a combination of shoulder pain, stiffness, and weakness. There has been a recent rapid increase in reported cases of SIRVA within the literature, particularly in adults, and is likely related to the mass vaccination programmes
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Prophylactic antibiotics for massive endoprostheses in orthopaedic oncology. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Tariq Azamgarhi, Simon Warren, Sarah Fouch, Joseph F Standing, Craig Gerrand
The recently published Prophylactic Antibiotic Regimens In Tumor Surgery (PARITY) trial found no benefit in extending antibiotic prophylaxis from 24 hours to five days after endoprosthetic reconstruction for lower limb bone tumours. PARITY is the first randomized controlled trial in orthopaedic oncology and is a huge step forward in understanding antibiotic prophylaxis. However, significant gaps remain
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Association between additional weekend rehabilitation and in-hospital mortality in patients with hip fractures. Bone Joint J. (IF 4.6) Pub Date : 2023-08-01 Takahisa Ogawa, Ryo Onuma, Morten T Kristensen, Toshitaka Yoshii, Takeo Fujiwara, Kiyohide Fushimi, Atsushi Okawa, Tetsuya Jinno
The aim of this study was to investigate the association between additional rehabilitation at the weekend, and in-hospital mortality and complications in patients with hip fracture who underwent surgery.
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Outcomes of arthroscopy of the hip for femoroacetabular impingement based on intraoperative assessment using the Outerbridge classification. Bone Joint J. (IF 4.6) Pub Date : 2023-07-01 Victor Lu, Octavian Andronic, James Z Zhang, Vikas Khanduja
Hip arthroscopy (HA) has become the treatment of choice for femoroacetabular impingement (FAI). However, less favourable outcomes following arthroscopic surgery are expected in patients with severe chondral lesions. The aim of this study was to assess the outcomes of HA in patients with FAI and associated chondral lesions, classified according to the Outerbridge system.
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The role of Gender in Operative Autonomy in orthopaedic Surgical Trainees (GOAST). Bone Joint J. (IF 4.6) Pub Date : 2023-07-01 Samantha Downie, Jennifer Cherry, Jennifer Dunn, Thomas Harding, Deborah Eastwood, Sarah Gill, Simon Johnson
Global literature suggests that female surgical trainees have lower rates of independent operating (operative autonomy) than their male counterparts. The objective of this study was to identify any association between gender and lead/independent operating in speciality orthopaedic trainees within the UK national training programme.
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Joint awareness following periacetabular osteotomy in patients with hip dysplasia. Bone Joint J. (IF 4.6) Pub Date : 2023-07-01 Shiori Tanaka, Masanori Fujii, Shunsuke Kawano, Masaya Ueno, Motoki Sonohata, Masaru Kitajima, Daisuke Mawatari, Masaaki Mawatari
The aims of this study were to validate the Forgotten Joint Score-12 (FJS-12) in the postoperative evaluation of periacetabular osteotomy (PAO), identify factors associated with joint awareness after PAO, and determine the FJS-12 threshold for patient-acceptable symptom state (PASS).
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The painful truth of waiting for hip and knee arthroplasty in Northern Ireland. Bone Joint J. (IF 4.6) Pub Date : 2023-07-01 Paul N Karayiannis, Michael Warnock, Roslyn Cassidy, Kenneth Jones, Chloe E H Scott, David Beverland
The aim of this study was to report health-related quality of life (HRQoL) and joint-specific function in patients waiting for total hip or knee arthroplasty surgery (THA or TKA) in Northern Ireland, compared to published literature and a matched normal population. Secondary aims were to report emergency department (ED) and out-of-hours general practitioner (OOH GP) visits, new prescriptions of strong
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Five-year outcomes for patients with a displaced fracture of the distal tibia. Bone Joint J. (IF 4.6) Pub Date : 2023-07-01 Nick Parsons, Juul Achten, Matt L Costa
To report the outcomes of patients with a fracture of the distal tibia who were treated with intramedullary nail versus locking plate in the five years after participating in the Fixation of Distal Tibia fracture (FixDT) trial.
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Consensus guidelines on the management of musculoskeletal infection affecting children in the UK. Bone Joint J. (IF 4.6) Pub Date : 2023-07-01 Piers D Mitchell, Alwyn Abraham, Clare Carpenter, Philip D Henman, Jason Mavrotas, Janet McCaul, Anish Sanghrajka, Tim Theologis
The aim of this study was to determine the consensus best practice approach for the investigation and management of children (aged 0 to 15 years) in the UK with musculoskeletal infection (including septic arthritis, osteomyelitis, pyomyositis, tenosynovitis, fasciitis, and discitis). This consensus can then be used to ensure consistent, safe care for children in UK hospitals and those elsewhere with