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Can the Clinical Frailty Scale on admission predict 30-day survival, postoperative complications, and institutionalization in patients with fragility hip fracture? : a cohort study of 1,255 patients. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 Adeel Ikram, Alan R Norrish, Ben A Marson, Simon Craxford, John R F Gladman, Ben J Ollivere
We assessed the value of the Clinical Frailty Scale (CFS) in the prediction of adverse outcome after hip fracture.
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The Fragility Fracture Postoperative Mobilisation multicentre audit : the reality of weightbearing practices following operations for lower limb fragility fractures. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 Charlotte Richardson, Christopher P Bretherton, Mohsen Raza, Alexander Zargaran, William G P Eardley, Alex J Trompeter
The purpose of this study was to determine the weightbearing practice of operatively managed fragility fractures in the setting of publically funded health services in the UK and Ireland.
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Adolescent idiopathic scoliosis : a review of aetiological theories of a multifactorial disease. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 Shivan Marya, Anant D Tambe, Peter A Millner, Athanasios I Tsirikos
Adolescent idiopathic scoliosis (AIS), defined by an age at presentation of 11 to 18 years, has a prevalence of 0.47% and accounts for approximately 90% of all cases of idiopathic scoliosis. Despite decades of research, the exact aetiology of AIS remains unknown. It is becoming evident that it is the result of a complex interplay of genetic, internal, and environmental factors. It has been hypothesized
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Arthroscopic bone graft and fixation for proximal scaphoid nonunions. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 Feiran Wu, Yuhao Zhang, Bo Liu
This study aims to report the outcomes in the treatment of unstable proximal third scaphoid nonunions with arthroscopic curettage, non-vascularized bone grafting, and percutaneous fixation.
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Cost-utility analysis of cemented hemiarthroplasty versus hydroxyapatite-coated uncemented hemiarthroplasty for the treatment of displaced intracapsular hip fractures : the World Hip Trauma Evaluation 5 (WHiTE 5) trial. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 May E Png, Stavros Petrou, Miguel A Fernandez, Juul Achten, Nicholas Parsons, Alwin McGibbon, Jenny Gould, Xavier L Griffin, Matthew L Costa
The aim of this study was to compare the cost-effectiveness of cemented hemiarthroplasty (HA) versus hydroxyapatite-coated uncemented HA for the treatment of displaced intracapsular hip fractures in older adults.
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Absorbable versus nonabsorbable sutures for the Krackow suture repair of acute Achilles tendon rupture: a prospective randomized controlled trial. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 Young H Park, Woon Kim, Jung W Choi, Hak J Kim
Although absorbable sutures for the repair of acute Achilles tendon rupture (ATR) have been attracting attention, the rationale for their use remains insufficient. This study prospectively compared the outcomes of absorbable and nonabsorbable sutures for the repair of acute ATR.
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Epidemiology and characteristics of femoral periprosthetic fractures : data from the characteristics, outcomes and management of periprosthetic fracture service evaluation (COMPOSE) cohort study. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2
The aim of this study was to describe the demographic details of patients who sustain a femoral periprosthetic fracture (PPF), the epidemiology of PPFs, PPF characteristics, and the predictors of PPF types in the UK population.
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Artificial intelligence and computer vision in orthopaedic trauma : the why, what, and how. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 Jasper Prijs, Zhibin Liao, Soheil Ashkani-Esfahani, Jakub Olczak, Max Gordon, Prakash Jayakumar, Paul C Jutte, Ruurd L Jaarsma, Frank F A IJpma, Job N Doornberg
Artificial intelligence (AI) is, in essence, the concept of 'computer thinking', encompassing methods that train computers to perform and learn from executing certain tasks, called machine learning, and methods to build intricate computer models that both learn and adapt, called complex neural networks. Computer vision is a function of AI by which machine learning and complex neural networks can be
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Management and outcomes of femoral periprosthetic fractures at the hip : data from the characteristics, outcomes and management of periprosthetic fracture service evaluation (COMPOSE) cohort study. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2
The aim of this study was to describe the management and associated outcomes of patients sustaining a femoral hip periprosthetic fracture (PPF) in the UK population.
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One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture : a meta-analysis of randomized controlled trials. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 Nick A Johnson, Caroline Fairhurst, Stephen D Brealey, Elizabeth Cook, Euan Stirling, Matt Costa, Pip Divall, Stephen Hodgson, Amar Rangan, Joseph J Dias
There has been an increasing use of early operative fixation for scaphoid fractures, despite uncertain evidence. We conducted a meta-analysis to evaluate up-to-date evidence from randomized controlled trials (RCTs), comparing the effectiveness of the operative and nonoperative treatment of undisplaced and minimally displaced (≤ 2 mm displacement) scaphoid fractures.
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A new prognostic nomogram for heterotopic ossification formation after elbow trauma : the Shanghai post-Traumatic Elbow Heterotopic Ossification Prediction (STEHOP) model. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 Ziyang Sun, Weixuan Liu, Hang Liu, Juehong Li, Yuehao Hu, Bing Tu, Wei Wang, Cunyi Fan
Heterotopic ossification (HO) is a common complication after elbow trauma and can cause severe upper limb disability. Although multiple prognostic factors have been reported to be associated with the development of post-traumatic HO, no model has yet been able to combine these predictors more succinctly to convey prognostic information and medical measures to patients. Therefore, this study aimed to
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Artificial intelligence for image analysis in total hip and total knee arthroplasty : a scoping review. Bone Joint J. (IF 5.385) Pub Date : 2022-8-2 Binay Gurung, Perry Liu, Peter D R Harris, Amit Sagi, Richard E Field, David H Sochart, Keith Tucker, Vipin Asopa
Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are common orthopaedic procedures requiring postoperative radiographs to confirm implant positioning and identify complications. Artificial intelligence (AI)-based image analysis has the potential to automate this postoperative surveillance. The aim of this study was to prepare a scoping review to investigate how AI is being used in the
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Deep learning in orthopaedic research : weighing idealism against realism. Bone Joint J. (IF 5.385) Pub Date : 2022-08-01 Jonathan M Vigdorchik,Seong J Jang,Michael J Taunton,Fares S Haddad
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The International Hip Society Meeting 2021. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Fares S Haddad,Henrik Malchau
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Treatment patterns and clinical and economic burden of hip dislocation following primary total hip arthroplasty in England. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Thibaut Galvain,Jack Mantel,Onkar Kakade,Tim N Board
AIMS The aim of this study was to estimate the clinical and economic burden of dislocation following primary total hip arthroplasty (THA) in England. METHODS This retrospective evaluation used data from the UK Clinical Practice Research Datalink database. Patients were eligible if they underwent a primary THA (index date) and had medical records available 90 days pre-index and 180 days post-index.
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No difference in long-term micromotion between fully cemented and hybrid fixation in revision total knee arthroplasty: a randomized controlled trial. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Kelly Mills,Ate B Wymenga,Gijs G van Hellemondt,Petra J C Heesterbeek
AIMS Both the femoral and tibial component are usually cemented at revision total knee arthroplasty (rTKA), while stems can be added with either cemented or press-fit (hybrid) fixation. The aim of this study was to compare the long-term stability of rTKA with cemented and press-fitted stems, using radiostereometric analysis (RSA). METHODS This is a follow-up of a randomized controlled trial, initially
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Hip dysplasia in adolescence: osteotomy in childhood improves the results of periacetabular osteotomy in adolescents and young adults : a prospective study. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Kamil Kołodziejczyk,Maria Czubak-Wrzosek,Magdalena Kwiatkowska,Jaroslaw Czubak
AIMS Developmental dysplasia of the hip (DDH) describes a pathological relationship between the femoral head and acetabulum. Periacetabular osteotomy (PAO) may be used to treat this condition. The aim of this study was to evaluate the results of PAO in adolescents and adults with persistent DDH. METHODS Patients were divided into four groups: A, adolescents who had not undergone surgery for DDH in
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Modifiable and non-modifiable risk factors in hip fracture mortality in Norway, 2014 to 2018 : a linked multiregistry study. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Cato Kjærvik,Jan-Erik Gjertsen,Eva Stensland,Jurate Saltyte-Benth,Odd Soereide
AIMS This study aimed to identify risk factors (patient, healthcare system, and socioeconomic) for mortality after hip fractures and estimate their relative importance. Further, we aimed to elucidate mortality and survival patterns following fractures and the duration of excess mortality. METHODS Data on 37,394 hip fractures in the Norwegian Hip Fracture Register from January 2014 to December 2018
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The association of surgical approach and bearing size and type with dislocation in total hip arthroplasty for acute hip fracture. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Cecilia Rogmark,Jonatan Nåtman,Ammar Jobory,Nils P Hailer,Peter Cnudde
AIMS Patients with femoral neck fractures (FNFs) treated with total hip arthroplasty (THA) have an almost ten-fold increased risk of dislocation compared to patients undergoing elective THA. The surgical approach influences the risk of dislocation. To date, the influence of differing head sizes and dual-mobility components (DMCs) on the risk of dislocation has not been well studied. METHODS In an observational
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A qualitative study of the impact of a periacetabular osteotomy on patients' lives. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Samantha L Ferraro,David N Williams,Michael B Millis
AIMS The aim of this study was to understand the experience of mature patients who undergo a periacetabular osteotomy (PAO), a major hip-preserving surgical procedure that treats symptomatic hip dysplasia by realigning the acetabulum. Our aim was to improve our understanding of how the operation affected the lives of patients and their families, with a long-term goal of improving their experience.
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Distal femoral arthroplasty for native knee fractures : results from the Australian Orthopaedic Association National Joint Replacement Registry. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Andrea S Aebischer,Raphael Hau,Richard N de Steiger,Carl Holder,Christopher J Wall
AIMS The aim of this study was to investigate the rate of revision for distal femoral arthroplasty (DFA) performed as a primary procedure for native knee fractures using data from the Australian Orthopaedic Association National Joint Arthroplasty Registry (AOANJRR). METHODS Data from the AOANJRR were obtained for DFA performed as primary procedures for native knee fractures from 1 September 1999 to
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Oxidized zirconium versus cobalt-chrome femoral heads in total hip arthroplasty: a multicentre prospective randomized controlled trial with ten years' follow-up. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Babar Kayani,Joanna Baawa-Ameyaw,Andreas Fontalis,Jenni Tahmassebi,Nick Wardle,Robert Middleton,Arthur Stephen,James Hutchinson,Fares S Haddad
AIMS This study reports the ten-year wear rates, incidence of osteolysis, clinical outcomes, and complications of a multicentre randomized controlled trial comparing oxidized zirconium (OxZr) versus cobalt-chrome (CoCr) femoral heads with ultra-high molecular weight polyethylene (UHMWPE) and highly cross-linked polyethylene (XLPE) liners in total hip arthroplasty (THA). METHODS Patients undergoing
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Effective single-stage revision using intra-articular antibiotic infusion after multiple failed surgery for periprosthetic joint infection : a mean seven years' follow-up. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Baochao Ji,Guoqing Li,Xiaogang Zhang,Boyong Xu,Yang Wang,Yongjie Chen,Li Cao
AIMS Periprosthetic joint infections (PJIs) with prior multiple failed surgery for reinfection represent a huge challenge for surgeons because of poor vascular supply and biofilm formation. This study aims to determine the results of single-stage revision using intra-articular antibiotic infusion in treating this condition. METHODS A retrospective analysis included 78 PJI patients (29 hips; 49 knees)
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Pelvic tilt from supine to standing in patients with symptomatic acetabular retroversion of the hip. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Mark R J Jenkinson,Wouter Peeters,Jonathan R B Hutt,Johan D Witt
AIMS Acetabular retroversion is a recognized cause of hip impingement and can be influenced by pelvic tilt (PT), which changes in different functional positions. Positional changes in PT have not previously been studied in patients with acetabular retroversion. METHODS Supine and standing anteroposterior (AP) pelvic radiographs were retrospectively analyzed in 69 patients treated for symptomatic acetabular
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Modified acetabular component liner designs are not superior to standard liners at reducing the risk of revision : an analysis of 151,096 cementless total hip arthroplasties from the German Arthroplasty Registry. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Paula Krull,Arnd Steinbrück,Alexander W Grimberg,Oliver Melsheimer,Michael Morlock,Carsten Perka
AIMS Registry studies on modified acetabular polyethylene (PE) liner designs are limited. We investigated the influence of standard and modified PE acetabular liner designs on the revision rate for mechanical complications in primary cementless total hip arthroplasty (THA). METHODS We analyzed 151,096 primary cementless THAs from the German Arthroplasty Registry (EPRD) between November 2012 and November
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Progression to arthroplasty surgery among patients with hip and knee osteoarthritis : a study from the Swedish BOA Register. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Kristin Gustafsson,Joanna Kvist,Caddie Zhou,Marit Eriksson,Ola Rolfson
AIMS The aim of this study was to estimate time to arthroplasty among patients with hip and knee osteoarthritis (OA), and to identify factors at enrolment to first-line intervention that are prognostic for progression to surgery. METHODS In this longitudinal register-based observational study, we identified 72,069 patients with hip and knee OA in the Better Management of Patients with Osteoarthritis
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20-year hip survivorship and patient-reported outcome measures after transpositional osteotomy of the acetabulum for dysplastic hips. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Yasuharu Nakashima,Shojiro Ishibashi,Kenji Kitamura,Satoshi Yamate,Goro Motomura,Satoshi Hamai,Satoshi Ikemura,Masanori Fujii
AIMS Although periacetabular osteotomies are widely used for the treatment of symptomatic dysplastic hips, long-term surgical outcomes and patient-reported outcome measures (PROMs) are still unclear. Accordingly, we assessed hip survival and PROMs at 20 years after transpositional osteotomy of the acetabulum (TOA). METHODS A total of 172 hips in 159 patients who underwent TOA were followed up at a
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Patient-reported outcome measures, complication rates, and re-revision rates are not associated with the indication for revision total hip arthroplasty : a prospective evaluation of 647 consecutive patients. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Matteo Innocenti,Katrijn Smulders,Jore H Willems,Jon H M Goosen,Gijs van Hellemondt
AIMS The aim of this study was to explore the relationship between reason for revision total hip arthroplasty (rTHA) and outcomes in terms of patient-reported outcome measures (PROMs). METHODS We reviewed a prospective cohort of 647 patients undergoing full or partial rTHA at a single high-volume centre with a minimum of two years' follow-up. The reasons for revision were classified as: infection;
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Modular dual-mobility articulations in patients with adverse spinopelvic mobility. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Rohit Dhawan,Jonathan V Baré,Andrew Shimmin
AIMS Adverse spinal motion or balance (spine mobility) and adverse pelvic mobility, in combination, are often referred to as adverse spinopelvic mobility (SPM). A stiff lumbar spine, large posterior standing pelvic tilt, and severe sagittal spinal deformity have been identified as risk factors for increased hip instability. Adverse SPM can create functional malposition of the acetabular components
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The incidence of adverse local tissue reaction due to head taper corrosion after total hip arthroplasty using V40 taper and 36 mm CoCr head. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Tim Grothe,Klaus-Peter Günther,Albrecht Hartmann,Sophia Blum,Richard Haselhoff,Jens Goronzy
AIMS Head-taper corrosion is a cause of failure in total hip arthroplasty (THA). Recent reports have described an increasing number of V40 taper failures with adverse local tissue reaction (ALTR). However, the real incidence of V40 taper damage and its cause remain unknown. The aim of this study was to evaluate the long-term incidence of ALTR in a consecutive series of THAs using a V40 taper and identify
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Guided growth versus varus osteotomy for type II avascular necrosis following surgery for developmental dysplasia of the hip. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Po-Jen Hsu,Chia-Che Lee,Sheng-Chieh Lin,Ken N Kuo,Kuan-Wen Wu,Ting-Ming Wang
AIMS The aim of this study was to compare outcomes of guided growth and varus osteotomy in treating Kalamchi type II avascular necrosis (AVN) after open reduction and Pemberton acetabuloplasty for developmental dysplasia of the hip (DDH). METHODS This retrospective study reviewed patients undergoing guided growth or varus osteotomy for Kalamchi type II AVN between September 2009 and January 2019. All
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Impact of capsular preservation on patient-reported outcomes and complication rates in total hip arthroplasty using the direct anterior approach. Bone Joint J. (IF 5.385) Pub Date : 2022-07-01 Vincent A Stadelmann,Hannes A Rüdiger,Selina Nauer,Michael Leunig
AIMS It is not known whether preservation of the capsule of the hip positively affects patient-reported outcome measures (PROMs) in total hip arthroplasty using the direct anterior approach (DAA-THA). A recent randomized controlled trial found no clinically significant difference at one year postoperatively. This study aimed to determine whether preservation of the anterolateral capsule and anatomical
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Yet more challenges for orthopaedic and trauma surgeons. Bone Joint J. (IF 5.385) Pub Date : 2022-06-01 Fares S Haddad
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The effectiveness of leucocyte-poor platelet-rich plasma injections on symptomatic early osteoarthritis of the knee: the PEAK randomized controlled trial. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Emma Lewis, Khalid Merghani, Iain Robertson, Jonathon Mulford, Ben Prentice, Ronnie Mathew, Peter Van Winden, Kathryn Ogden
Platelet-rich plasma (PRP) intra-articular injections may provide a simple and minimally invasive treatment for early-stage knee osteoarthritis (OA). This has led to an increase in its adoption as a treatment for knee OA, although there is uncertainty about its efficacy and benefit. We hypothesized that patients with early-stage symptomatic knee OA who receive multiple PRP injections will have better
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Elbow hemiarthroplasty with a 3D-printed megaprosthesis for defects of the distal humerus or proximal ulna after tumour resection : a preliminary report. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Haijie Liang, Yi Yang, Wei Guo, Liang Yan, Xiaodong Tang, Dasen Li, Huayi Qu, Jie Zang, Zhiye Du
The aim of this study was to investigate the feasibility of application of a 3D-printed megaprosthesis with hemiarthroplasty design for defects of the distal humerus or proximal ulna following tumour resection.
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Incidence and quality of care for open fractures in England between 2008 and 2019 : a cohort study using data collected by the Trauma Audit and Research Network. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Anjali Shah, Andrew Judge, Xavier L Griffin
This study estimated trends in incidence of open fractures and the adherence to clinical standards for open fracture care in England.
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Electrochemically applied hydroxyapatite on the cementless porous surface of Bi-Metric stems reduces early migration and has a lasting effect : an efficacy trial of a randomized five-year follow-up radiostereometric study. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Martin B Knudsen, Janni K Thillemann, Peter B Jørgensen, Stig S Jakobsen, Henrik Daugaard, Kjeld Søballe, Maiken Stilling
BoneMaster is a thin electrochemically applied hydroxyapatite (HA) coating for orthopaedic implants that is quickly resorbed during osseointegration. Early stabilization is a surrogacy marker of good survival of femoral stems. The hypothesis of this study was that a BoneMaster coating yields a fast early and lasting fixation of stems.
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Developing a minimum common dataset for hip fracture audit to help countries set up national audits that can support international comparisons. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Antony Johansen, Cristina Ojeda-Thies, Arwel T Poacher, Andrew J Hall, Louise Brent, Emer C Ahern, Matt L Costa
The aim of this study was to explore current use of the Global Fragility Fracture Network (FFN) Minimum Common Dataset (MCD) within established national hip fracture registries, and to propose a revised MCD to enable international benchmarking for hip fracture care.
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Single-stage repair of displaced bucket-handle meniscal tears with anterior cruciate ligament reconstruction leads to good meniscal survivorship : a retrospective cohort study. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 James R Robinson, David Bruce, Hywel Davies, Andrew J Porteous, James R D Murray, Nick R Howells
The best surgical strategy for the management of displaced bucket-handle (BH) meniscal tears in an anterior cruciate ligament (ACL)-deficient knee is unclear. Combining meniscal repair with ACL reconstruction (ACLR) is thought to improve meniscal healing rates; however, patients with displaced BH meniscal tears may lack extension. This leads some to advocate staged surgery to avoid postoperative stiffness
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Predictors of metalwork failure and nonunion after hindfoot Charcot reconstruction. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Ali-Asgar Najefi, Razi Zaidi, Oliver Chan, Thomas Hester, Venu Kavarthapu
Surgical reconstruction of deformed Charcot feet carries a high risk of nonunion, metalwork failure, and deformity recurrence. The primary aim of this study was to identify the factors contributing to these complications following hindfoot Charcot reconstructions.
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Early patient-reported outcomes from primary hip and knee arthroplasty have improved over the past seven years : an analysis of the NHS PROMs dataset. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Shiraz A Sabah, Ruth Knight, Abtin Alvand, David J Beard, Andrew J Price
Routinely collected patient-reported outcome measures (PROMs) have been useful to quantify and quality-assess provision of total hip arthroplasty (THA) and total knee arthroplasty (TKA) in the UK for the past decade. This study aimed to explore whether the outcome following primary THA and TKA had improved over the past seven years.
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The lifetime revision risk of unicompartmental knee arthroplasty. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Mei L Tay, Simon W Young, Christopher M Frampton, Gary J Hooper
Unicompartmental knee arthroplasty (UKA) has a higher risk of revision than total knee arthroplasty (TKA), particularly for younger patients. The outcome of knee arthroplasty is typically defined as implant survival or revision incidence after a defined number of years. This can be difficult for patients to conceptualize. We aimed to calculate the 'lifetime risk' of revision for UKA as a more meaningful
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Surgical fixation of rib fractures improves 30-day survival after significant chest injury : an analysis of ten years of prospective registry data from England and Wales. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Simon Craxford, Ben A Marson, Jessica Nightingale, Daren P Forward, Andrew Taylor, Ben Ollivere
The last decade has seen a marked increase in surgical rib fracture fixation (SRF). The evidence to support this comes largely from retrospective cohorts, and adjusting for the effect of other injuries sustained at the same time is challenging. This study aims to assess the impact of SRF after blunt chest trauma using national prospective registry data, while controlling for other comorbidities and
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Virtual management of clinically suspected scaphoid fractures. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Paul H C Stirling, Cameron J Simpson, David Ring, Andrew D Duckworth, Jane E McEachan
The aim of this study was to describe the introduction of a virtual pathway for the management of patients with a suspected fracture of the scaphoid, and to report patient-reported outcome measures (PROMs) and satisfaction following treatment using this service.
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Perioperative myocardial injury and mortality after revision surgery for orthopaedic device-related infection. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Peter Kvarda, Christian Puelacher, Martin Clauss, Richard Kuehl, Hatice Gerhard, Christian Mueller, Mario Morgenstern
Periprosthetic joint infections (PJIs) and fracture-related infections (FRIs) are associated with a significant risk of adverse events. However, there is a paucity of data on cardiac complications following revision surgery for PJI and FRI and how they impact overall mortality. Therefore, this study aimed to investigate the risk of perioperative myocardial injury (PMI) and mortality in this patient
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Patient-reported outcome and survival following meniscal allograft transplantation : an international case series. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Timothy Barlow, Vito Coco, Faiz Shivji, Alberto Grassi, Laura Asplin, Peter Thompson, Andrew Metcalfe, Stefano Zaffagnini, Tim Spalding
Meniscal allograft transplantation (MAT) for patients with symptomatic meniscal loss has demonstrated good clinical results and survivorship. Factors that affect both functional outcome and survivorship have been reported in the literature. These are typically single-centre case series with relatively small numbers and conflicting results. Our aim was to describe an international, two-centre case series
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No correlation identified between the proportional size of a prolapsed intravertebral disc with disability or leg pain. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Robert A Dunsmuir, Sohail Nisar, James A Cruickshank, Peter R Loughenbury
The aim of the study was to determine if there was a direct correlation between the pain and disability experienced by patients and size of their disc prolapse, measured by the disc's cross-sectional area on T2 axial MRI scans.
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Attaining a British consensus on managing idiopathic congenital talipes equinovarus up to walking age. Bone Joint J. (IF 5.385) Pub Date : 2022-6-1 Yael Gelfer, Naomi Davis, Jose Blanco, Rachel Buckingham, Amanda Trees, Jason Mavrotas, Sally Tennant, Tim Theologis
The aim of this study was to gain an agreement on the management of idiopathic congenital talipes equinovarus (CTEV) up to walking age in order to provide a benchmark for practitioners and guide consistent, high-quality care for children with CTEV.
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The CPUP Hip Score predicts displacement of the hip in children with cerebral palsy. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Mark S Gaston, Sarah J Wordie, Philippe Wagner, Gunnar Hägglund, James E Robb
The Uppföljningsprogram för cerebral pares (CPUP) Hip Score distinguishes between children with cerebral palsy (CP) at different levels of risk for displacement of the hip. The score was constructed using data from Swedish children with CP, but has not been confirmed in any other population. The aim of this study was to determine the calibration and discriminatory accuracy of this score in children
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Bone grafting for scaphoid nonunion surgery : a systematic review and meta-analysis. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Joseph W Duncumb, Patrick G Robinson, Tom R Williamson, Iain R Murray, Doug Campbell, Samuel G Molyneux, Andrew D Duckworth
The purpose of this systematic review was to determine the rates of union for vascularized versus non-vascularized grafting techniques in the operative management of scaphoid nonunion. Secondary aims were to determine the effect of the fixation techniques used, the source of grafting, as well as the influence of fracture location (proximal pole) and avascular necrosis (AVN).
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Adaptive antimicrobial resistance, a description of microbial variants, and their relevance to periprosthetic joint infection. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Christopher Hamad, Madhav Chowdhry, Devin Sindeldecker, Nicholas M Bernthal, Paul Stoodley, Edward J McPherson
Periprosthetic joint infection (PJI) is a difficult complication requiring a comprehensive eradication protocol. Cure rates have essentially stalled in the last two decades, using methods of antimicrobial cement joint spacers and parenteral antimicrobial agents. Functional spacers with higher-dose antimicrobial-loaded cement and antimicrobial-loaded calcium sulphate beads have emphasized local antimicrobial
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Access to hip arthroplasty and rates of complications in different socioeconomic groups : a review of 111,000 patients in a universal healthcare system. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Amit Atrey, Daniel Pincus, Amir Khoshbin, Fares S Haddad, Sarah Ward, Suriya Aktar, Karim Ladha, Bheeshma Ravi
Total hip arthroplasty (THA) is one of the most successful surgical procedures. The objectives of this study were to define whether there is a correlation between socioeconomic status (SES) and surgical complications after elective primary unilateral THA, and investigate whether access to elective THA differs within SES groups.
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Five-year outcomes for patients sustaining severe fractures of the lower limb : mid-term results from the Wound management for Open Lower Limb Fracture (WOLLF) trial. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Matt L Costa, Juul Achten, Nick R Parsons
The aim of this study was to report the outcomes of patients with severe open fractures of the lower limb in the five years after they took part in the Wound management for Open Lower Limb Fracture (WOLLF) trial.
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Liner malseating is rare with two modular dual-mobility designs. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Matthew P Siljander, Elizabeth B Gausden, Benjamin M Wooster, Daniel Karczewski, Rafael J Sierra, Robert T Trousdale, Matthew P Abdel
The aim of this study was to evaluate the incidence of liner malseating in two commonly used dual-mobility (DM) designs. Secondary aims included determining the risk of dislocation, survival, and clinical outcomes.
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Monitoring the lifetime risk of revision knee arthroplasty over a decade : a population-level analysis of Australian national registry data. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Ilana N Ackerman, Ljoudmila Busija, Michelle Lorimer, Richard de Steiger, Stephen E Graves
This study aimed to describe the use of revision knee arthroplasty in Australia and examine changes in lifetime risk over a decade.
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Cervical transforaminal epidural steroid injections for radicular pain : a systematic review. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Zakk M Borton, Ben J Oakley, Jonathan A Clamp, Nick C Birch, Antony H Bateman
Cervical radiculopathy is a significant cause of pain and morbidity. For patients with severe and poorly controlled symptoms who may not be candidates for surgical management, treatment with transforaminal epidural steroid injections (CTFESI) has gained widespread acceptance. However, a paucity of high-quality evidence supporting their use balanced against perceived high risks of the procedure potentially
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No difference in outcome or migration but greater loss of bone mineral density with the Collum Femoris Preserving stem compared with the Corail stem: a randomized controlled trial with five-year follow-up. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Karin Rilby, Emma Nauclér, Maziar Mohaddes, Johan Kärrholm
The aim of this study was to compare the mid-term patient-reported outcome, bone remodelling, and migration of a short stem (Collum Femoris Preserving; CFP) with a conventional uncemented stem (Corail).
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Intraoperative pressure sensors improve soft-tissue balance but not clinical outcomes in total knee arthroplasty: a multicentre randomized controlled trial. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Samuel J MacDessi, Jil A Wood, Ashish Diwan, Ian A Harris
Intraoperative pressure sensors allow surgeons to quantify soft-tissue balance during total knee arthroplasty (TKA). The aim of this study was to determine whether using sensors to achieve soft-tissue balance was more effective than manual balancing in improving outcomes in TKA.
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Pre- and intraoperative decision-making challenges in hip arthroscopy for femoroacetabular impingement. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Hannah Martin, Patrick G Robinson, Julian Frederick Maempel, David Hamilton, Paul Gaston, Marc R Safran, Iain R Murray
There has been a marked increase in the number of hip arthroscopies performed over the past 16 years, primarily in the management of femoroacetabular impingement (FAI). Insights into the pathoanatomy of FAI, and high-level evidence supporting the clinical effectiveness of arthroscopy in the management of FAI, have fuelled this trend. Arthroscopic management of labral tears with repair may have superior
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Additional operations after surgery for lumbar disc prolapse : indications, type of surgery, and long-term follow-up of primary operations performed from 2007 to 2008. Bone Joint J. (IF 5.385) Pub Date : 2022-5-3 Freyr Gauti Sigmundsson, Anders Joelson, Fredrik Strömqvist
Lumbar disc prolapse is a frequent indication for surgery. The few available long-term follow-up studies focus mainly on repeated surgery for recurrent disease. The aim of this study was to analyze all reasons for additional surgery for patients operated on for a primary lumbar disc prolapse.