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What's Important: Crossing the Finish Line: Perspectives on Completing Orthopaedic Surgery Training. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-13 Michael J Moses
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Tibial Tubercle Osteotomy in Revision Total Knee Arthroplasty for Periprosthetic Infection: Indications and Outcomes. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-12 Nicolas Cance,Cécile Batailler,Jobe Shatrov,Robin Canetti,Elvire Servien,Sébastien Lustig
BACKGROUND Adequate exposure is essential in revision total knee arthroplasty (RTKA). Tibial tubercle osteotomy (TTO) enhances exposure, but its use is controversial in the setting of periprosthetic infection. The purposes of this study were to determine (1) the rates of complications and revisions due to TTO during RTKA in the setting of a periprosthetic infection, (2) the rate of septic failure,
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Artificial Intelligence in Orthopaedic Surgery: Can a Large Language Model "Write" a Believable Orthopaedic Journal Article? J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-12 Devon T Brameier,Ahmad A Alnasser,Jonathan M Carnino,Abhiram R Bhashyam,Arvind G von Keudell,Michael J Weaver
➢ Natural language processing with large language models is a subdivision of artificial intelligence (AI) that extracts meaning from text with use of linguistic rules, statistics, and machine learning to generate appropriate text responses. Its utilization in medicine and in the field of orthopaedic surgery is rapidly growing.➢ Large language models can be utilized in generating scientific manuscript
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Complications and Safety of Simultaneous Bilateral Total Knee Arthroplasty: A Patient Characteristic and Comorbidity-Matched Analysis. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-07 Mary K Richardson,Kevin C Liu,Cory K Mayfield,Natalie M Kistler,Alexander B Christ,Nathanael D Heckmann
BACKGROUND Total knee arthroplasty (TKA) is a highly successful surgical procedure that decreases pain and improves function. Many patients who undergo TKA may require surgical intervention on both extremities because of bilateral osteoarthritis. The purpose of this study was to evaluate the safety of simultaneous bilateral TKA compared with that of unilateral TKA. METHODS Patients who underwent unilateral
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Comparison of Intramedullary Nails in the Treatment of Trochanteric and Subtrochanteric Fractures: An Observational Study of 13,232 Fractures in the Norwegian Hip Fracture Register. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-07 Kirsten Marie Larsen Grønhaug,Eva Dybvik,Kjell Matre,Bengt Östman,Jan-Erik Gjertsen
BACKGROUND Intramedullary nails are commonly used in the treatment of trochanteric and subtrochanteric fractures. We aimed to compare intramedullary nails in widespread use in Norway on the basis of reoperation risk. METHODS We assessed data from 13,232 trochanteric or subtrochanteric fractures treated with an intramedullary nail and registered in the Norwegian Hip Fracture Register between 2007 and
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Faster Rate of Correction with Distal Femoral Transphyseal Screws Versus Plates in Hemiepiphysiodesis for Coronal-Plane Knee Deformity: Age- and Sex-Matched Cohorts of Skeletally Immature Patients. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-07 James McGinley,Hannah Worrall,Claire Althoff,Claire Clark,Chan-Hee Jo,John G Birch,Philip L Wilson,Henry B Ellis
BACKGROUND Hemiepiphysiodesis (guided-growth) procedures have become the primary method of treatment for coronal-plane knee deformities in skeletally immature patients. Two leading techniques involve the use of a transphyseal screw or a growth modulation plate. However, clinical references for the estimation of correction are lacking, and no consensus has been reached regarding the superiority of one
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Validation of the Stopping Opioids After Surgery (SOS) Score for the Sustained Use of Prescription Opioids Following Orthopaedic Surgery. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-06 Alexander M Crawford,Brendan M Striano,Jonathan Gong,Tracey P Koehlmoos,Andrew K Simpson,Andrew J Schoenfeld
BACKGROUND The Stopping Opioids after Surgery (SOS) score was developed to identify patients at risk for sustained opioid use following surgery. The SOS score has not been specifically validated for patients in a general orthopaedic context. Our primary objective was to validate the SOS score within this context. METHODS In this retrospective cohort study, we considered a broad array of representative
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Sagittal Alignment in Total Knee Arthroplasty: Are There Any Discrepancies Between Robotic-Assisted and Manual Axis Orientation? J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-06 Hao-Ming An,Wang Gu,Shao-Kui Nan,Zheng Liu,Rui Li,Wei Chai
BACKGROUND Sagittal alignment determines the extension and flexion of knee prostheses in total knee arthroplasty (TKA). The definition of the sagittal axes may be different between the Mako TKA system (Stryker) and the conventional manual intramedullary approach. Whether there is any discrepancy between the 2 approaches has not been well studied. METHODS We retrospectively analyzed 60 full-length computed
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Evaluation of Racial, Ethnic, and Socioeconomic Disparities in Indication for Carpal Tunnel Release. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-05 Jona Kerluku,Paul Walker,Troy Amen,Bryan Aristega Almeida,Rosie McColgan,Adriana Urruela,Joseph Nguyen,Duretti T Fufa
BACKGROUND Disparities in the utilization of orthopaedic surgery based on race and ethnicity continue to be reported. We examined the impact of sociodemographic factors on treatment recommendation by hand surgeons for carpal tunnel syndrome (CTS) of similar disease severity. METHODS Patients with electrodiagnostic study (EDS)-confirmed CTS were evaluated at a single institution between 2016 and 2020
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Erratum: Strategies for Recruiting and Retaining Women and Minorities in Orthopaedics. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-05
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The Enigma of Posttraumatic Osteoarthritis: Commentary on an article by Alexander W. Aleem, MD, MSc, et al.: "Gene Expression in Glenoid Articular Cartilage Varies Across Acute Instability, Chronic Instability, and Osteoarthritis". J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-05 Dean Wang,Tyler R Johnston
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Large Language Models in Orthopaedic Trauma: A Cutting-Edge Technology to Enhance the Field. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-04 Lauren A Merrell,Nina D Fisher,Kenneth A Egol
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QuickDASH and PRWE Are Not Optimal Patient-Reported Outcome Measures After Distal Radial Fracture Due to Ceiling Effect: Potential Implications for Future Research. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-07-03 Katrina R Bell,William M Oliver,Timothy O White,Samuel G Molyneux,Nicholas D Clement,Andrew D Duckworth
BACKGROUND The aim of this study was to determine the floor and ceiling effects for both the QuickDASH (shortened version of the Disabilities of the Arm, Shoulder and Hand [DASH] questionnaire) and the PRWE (Patient-Rated Wrist Evaluation) following a distal radial fracture (DRF). Secondary aims were to determine the degree to which patients with a floor or ceiling effect felt that their wrist was
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Talar OsteoPeriostic Grafting from the Iliac Crest (TOPIC): Two-Year Prospective Results of a Novel Press-Fit Surgical Technique for Large, Complex Osteochondral Lesions of the Medial Talus. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-26 Jari Dahmen,Quinten Rikken,Sjoerd A S Stufkens,Gino M M J Kerkhoffs
BACKGROUND Press-fit Talar OsteoPeriostic grafting from the Iliac Crest (TOPIC) is a novel technique for the treatment of large osteochondral lesions of the talus. The purpose of the present study was to prospectively evaluate the 2-year clinical outcomes for patients with medial osteochondral lesions of the talus that were treated with the TOPIC procedure. METHODS Forty-three patients were prospectively
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Establishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-23 Michael J Medvecky,Joseph B Kahan,Dustin L Richter,William M McLaughlin,Jay Moran,Wasif Islam,Mark D Miller,Daniel C Wascher,Gehron P Treme,Túlio V O Campos,Michael Held,Robert C Schenck,
BACKGROUND Knee fracture-dislocations are complex injuries; however, there is no universally accepted definition of what constitutes a fracture-dislocation within the Schenck Knee Dislocation (KD) V subcategory. The purpose of this study was to establish a more precise definition for fracture patterns included within the Schenck KD V subcategory. METHODS A series of clinical scenarios encompassing
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Thirty-Day Mortality and Complication Rates in Total Joint Arthroplasty After a Recent COVID-19 Diagnosis: A Retrospective Cohort in the National COVID Cohort Collaborative (N3C). J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-23 Jami D Pincavitch,John J Pisquiy,Sijin Wen,Nicole Bryan,Jeffrey Ammons,Priyal Makwana,Matthew J Dietz,
BACKGROUND The risk of postoperative complications in patients who had a positive COVID-19 test prior to a total joint arthroplasty (TJA) is unknown. The purpose of this investigation was to study the complications and mortality associated with a recent COVID-19 diagnosis prior to TJA. METHODS Patients undergoing primary and revision total hip arthroplasties (THAs) or total knee arthroplasties (TKAs)
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Instrumented Versus Uninstrumented Posterolateral Fusion for Lumbar Spondylolisthesis: A Randomized Controlled Trial. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-22 Andreas K Andresen,Line A Wickstrøm,Randi B Holm,Leah Y Carreon,Mikkel Østerheden Andersen
BACKGROUND In Scandinavia, spinal fusion is frequently performed without instrumentation, as use of instrumentation in the elderly can be complicated by poor bone quality and the risk of screw pull-out. However, uninstrumented fusion carries the risk of nonunion. We performed a randomized controlled trial in an attempt to determine if use of instrumentation leads to better outcomes and fusion rates
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Cementless Versus Cemented Total Knee Arthroplasty: Concise Midterm Results of a Prospective Randomized Controlled Trial. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-22 Charles P Hannon,Rondek Salih,Robert L Barrack,Ryan M Nunley
BACKGROUND We previously reported the 2-year results of a prospective randomized controlled trial of cementless versus cemented total knee arthroplasty (TKA) implants of the same design. The purpose of the present study was to provide concise results at intermediate-term follow-up. METHODS The original study included 141 TKAs (76 performed without cement and 65 performed with cement). Since then, 8
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Perioperative Corticosteroids: Not a Straight Shot Answer: Commentary on an article by P.K. Chan, FRCSEd (Ortho), et al.: "Pain Relief After Total Knee Arthroplasty with Intravenous and Periarticular Corticosteroid. A Randomized Controlled Trial". J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-21 Nathanael D Heckmann
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Waiting for Change: Pulmonary Function Improves in a Delayed Fashion Following Dual Growing-Rod Surgery for Early-Onset Scoliosis: Commentary on an article by Yunsheng Wang, MD, et al.: "Long-Term Radiographic and Pulmonary Function Outcomes After Dual Growing-Rod Treatment for Severe Early-Onset Scoliosis". J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-21 Christina K Hardesty
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Ten-Year Outcomes of Second-Generation, All-Inside Meniscal Repair in the Setting of ACL Reconstruction. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-21 Rick W Wright,Laura J Huston,Amanda K Haas
BACKGROUND Meniscal repair is the goal, whenever possible, for the treatment of meniscal injury. The purpose of this study was to evaluate the long-term clinical success of meniscal repair performed with a second-generation, all-inside repair device with a concomitant anterior cruciate ligament (ACL) reconstruction. METHODS This was a retrospective review of prospectively collected patients who underwent
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Erratum: Presentation and Surgical Management of Multiple Ligament Knee Injuries. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-21
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Association Between Tranexamic Acid Use and Heterotopic Ossification Prevalence After Elbow Trauma Surgery: A Propensity-Score-Matched Cohort Study. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-20 Hang Liu,Juehong Li,Yuehao Hu,Jingyi Guo,Tengfei Lou,Gang Luo,Shuai Chen,Wei Wang,Hongjiang Ruan,Ziyang Sun,Cunyi Fan
BACKGROUND Heterotopic ossification (HO) is a common complication of elbow trauma that can affect limb mobility. Inflammation is an initiating factor for HO formation. Tranexamic acid (TXA) can reduce the inflammatory response after orthopaedic surgery. However, evidence regarding the effectiveness of TXA use for HO prevention after elbow trauma surgery is lacking. METHODS This retrospective observational
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Assessment of Bone Healing Opportunities to Improve the Standard of Care. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-20 Mohammad Javad Shariyate,Nadim Kheir,Daniela Caro,Mohammadreza Abbasian,Edward K Rodriguez,Brian D Snyder,Ara Nazarian
➤ Bone healing is commonly evaluated by clinical examination and serial radiographic evaluation. Physicians should be mindful that personal and cultural differences in pain perception may affect the clinical examination. Radiographic assessment, even with the Radiographic Union Score, is qualitative, with limited interobserver agreement.➤ Physicians may use serial clinical and radiographical examinations
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In Knee OA, Adding Hyaluronic Acid (HA) Vs. Cross-Linked HA to Intra-Articular Platelet-Rich Plasma Did Not Differ for Pain at 6 Months. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-15 Asheesh Bedi
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In Adults with End-Stage Osteoarthritis, Total Ankle Replacement Did Not Differ from Arthrodesis for Change in MOXFQ Scores at 1 Year. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-15 Tyler Gonzalez
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Capacity Assessment Tool to Promote Capacity Building in Global Orthopaedic Surgical Outreach. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-15 Lauren M Shapiro,Jessica Welch,Chelsea Leversedge,Julie A Katarincic,Fraser J Leversedge,George S M Dyer,Scott H Kozin,Paige M Fox,Meghan McCullough,Bruce Agins,Robin N Kamal
BACKGROUND A growing number of nongovernmental organizations from high-income countries aim to provide surgical outreach for patients in low- and middle-income countries in a manner that builds capacity. There remains, however, a paucity of measurable steps to benchmark and evaluate capacity-building efforts. Based on a framework for capacity building, the present study aimed to develop a Capacity
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In Freezing-Phase Frozen Shoulder, Adding Arthroscopic Release to Corticosteroid Hydrodilatation Improved Some Measures of ROM at 12 Months. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-14 Mark T Dillon
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Women Are Underrepresented Among Principal Investigators of Hip and Knee Arthroplasty Clinical Trials in the United States. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-14 Jason Silvestre,Jasmine J Walker,Dawn M LaPorte,Charles L Nelson
BACKGROUND Leadership of clinical trials confers national recognition and promotes academic advancement. We hypothesized that women would be underrepresented among principal investigators (PIs) of hip and knee arthroplasty clinical trials in the United States. METHODS A query of hip and knee arthroplasty clinical trials from 2015 to 2021 was performed on ClinicalTrials.gov. Clinical trials were included
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Iodine Allergy and the Orthopaedic Patient. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-01 Andrew Fraval,Michael A Mont,Javad Parvizi
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Neurologic Outcomes After Radiation Therapy for Severe Spinal Cord Compression in Multiple Myeloma: A Study of 162 Patients. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-01 H Zijlstra,B M Striano,A M Crawford,O Q Groot,N Raje,D G Tobert,C G Patel,N Wolterbeek,D Delawi,D H R Kempen,J J Verlaan,J H Schwab
BACKGROUND Bone destruction is the most frequent disease-defining clinical feature of multiple myeloma (MM), resulting in skeletal-related events such as back pain, pathological fractures, or neurologic compromise including epidural spinal cord compression (ESCC). Up to 24% of patients with MM will be affected by ESCC. Radiation therapy has been proven to be highly effective in pain relief in patients
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What's Important (Patient Perspective): Becoming a Patient. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-06-01 Ted W Parcel
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Using Artificial Intelligence to Answer Common Patient-Focused Questions in Minimally Invasive Spine Surgery. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-29 Tejas Subramanian,Pratyush Shahi,Kasra Araghi,Omri Mayaan,Troy B Amen,Sravisht Iyer,Sheeraz Qureshi
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Periacetabular Osteotomy for Symptomatic Acetabular Dysplasia in Patients ≥40 Years Old: Intermediate and Long-Term Outcomes and Predictors of Failure. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-26 Eduardo N Novais,Samantha L Ferraro,Patricia Miller,Young-Jo Kim,Michael B Millis,John C Clohisy
BACKGROUND The Bernese periacetabular osteotomy (PAO) is controversial as a treatment for symptomatic acetabular dysplasia in patients ≥40 years of age. We conducted a retrospective study to evaluate the outcomes, measure the survival rate, and identify factors associated with PAO failure in patients ≥40 years of age. METHODS We performed a retrospective study of patients ≥40 years of age undergoing
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Uncovertebral Joint Fusion Versus End Plate Space Fusion in Anterior Cervical Spine Surgery: A Prospective Randomized Controlled Trial. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-25 Xia-Qing Sheng,Yi Yang,Chen Ding,Bei-Yu Wang,Ying Hong,Yang Meng,Hao Liu
BACKGROUND The uncovertebral joint is a potential region for anterior cervical fusion. Currently, we are aware of no clinical trials on human uncovertebral joint fusion (UJF). The purpose of this study was to compare the time it took to achieve osseous union/fusion and the clinical efficacy of UJF to end plate space fusion (ESF)-i.e., traditional anterior cervical discectomy and fusion (ACDF)-in anterior
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What Factors Are Associated with Clinical Trial Discontinuation in Orthopaedic Surgery: An Analysis of Clinical Trials Between 2007 and 2022. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-24 Christian J Hecht,Maura R Guyler,Aakash Shah,Robert J Burkhart,Atul F Kamath
BACKGROUND Clinical trials play a crucial role in advancing medical knowledge and have the potential to change standards of care. The present study evaluated the prevalence of discontinued clinical trials in orthopaedic surgery. Additionally, we sought to identify the study characteristics associated with and the rationale behind trial discontinuation. METHODS A cross-sectional survey of orthopaedic
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Conservative Management with Functional Brace Versus Various Surgical Fixation Techniques for Humeral Shaft Fractures: A Network Meta-Analysis. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-24 Athan G Zavras,Kevin T Monahan,Nathan C Winek,Tommy Pan,Gregory T Altman,Daniel T Altman,Edward R Westrick
BACKGROUND Historically, humeral shaft fractures have been successfully treated with nonoperative management and functional bracing; however, various surgical options are also available. In the present study, we compared the outcomes of nonoperative versus operative interventions for the treatment of extra-articular humeral shaft fractures. METHODS This study was a network meta-analysis of prospective
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Functional and Clinical Outcomes After Plate Osteosynthesis Versus Intramedullary Nailing of a Humeral Shaft Fracture: The Results of the HUMMER Multicenter, Prospective Cohort Study. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-23 Dennis Den Hartog,Kiran C Mahabier,Saskia H Van Bergen,Michael H J Verhofstad,Esther M M Van Lieshout,
BACKGROUND Plate osteosynthesis (referred to throughout as plating) and intramedullary nailing (referred to throughout as nailing) are the most common operative strategies for humeral shaft fractures. However, it is undecided which treatment is more effective. This study aimed to compare functional and clinical outcomes of these treatment strategies. We hypothesized that plating would result in an
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AOA Critical Issues Symposium: Leadership and Education During and After COVID-19: Back to the Future or a New Normal. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-23 K D Plancher,B F Morrey,G T McMahon,D S Ruch,S C Petterson
The devastating impact of COVID-19 has reshaped how we lead and train our future surgeons in the field of orthopaedics. Overnight, leaders in our field had to dramatically shift their mindset to continue to lead a hospital, department, journal, or residency or fellowship program in the face of an unprecedented level of adversity in the history of the United States. This symposium discusses the role
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Pain Relief After Total Knee Arthroplasty with Intravenous and Periarticular Corticosteroid: A Randomized Controlled Trial. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-23 P K Chan,T C W Chan,C Y H Mak,T H M Chan,S H W Chan,S S C Wong,H Fu,A Cheung,V W K Chan,M H Cheung,C W Cheung,K Y Chiu
BACKGROUND Total knee arthroplasty (TKA) is a cost-effective procedure, but it is also associated with substantial postoperative pain. The present study aimed to compare pain relief and functional recovery after TKA among groups that received intravenous corticosteroids, periarticular corticosteroids, or a combination of both. METHODS This randomized, double-blinded clinical trial in a local institution
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Complications Associated with Preventive Management to Reduce the Risk of COVID-19 Spread After Surgery for Spinal Cord Injury. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-22 Hiroki Ushirozako,Kota Suda,Satoko Matsumoto Harmon,Miki Komatsu,Masahiro Ota,Tomoaki Shimizu,Akio Minami,Masahiko Takahata,Norimasa Iwasaki,Yukihiro Matsuyama
BACKGROUND Preventive management to reduce the risk of coronavirus disease-2019 (COVID-19) spread led to delays in active rehabilitation, which may have negatively impacted the outcomes of patients with traumatic spinal cord injury (SCI). Therefore, the aim of this study was to clarify the influence of preventive management on the rate of perioperative complications after surgical treatment for SCI
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Maternal Risk Factors for Congenital Vertebral Anomalies: A Population-Based Study. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-22 Arimatias Raitio,Susanna Heiskanen,Johanna Syvänen,Maarit K Leinonen,Teemu Kemppainen,Eliisa Löyttyniemi,Matti Ahonen,Mika Gissler,Ilkka Helenius
BACKGROUND The spectrum of congenital vertebral defects varies from benign lesions to severe, life-threatening conditions. The etiology and maternal risk factors remain mainly unclear in isolated cases. Hence, we aimed to assess and identify potential maternal risk factors for these anomalies. Based on previous studies, we hypothesized that maternal diabetes, smoking, advanced maternal age, obesity
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New Considerations in ACL Surgery: When Is Anatomic Reconstruction Not Enough? J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-19 Hayden P Baker,Edward Bowen,Andrew Sheean,Asheesh Bedi
➤ Clinicians should be careful to assess for associated injuries including anterolateral complex and medial meniscal ramp lesions or lateral meniscal posterior root tears.➤ Consideration of lateral extra-articular augmentation should be given for patients with >12° of posterior tibial slope.➤ Patients with preoperative knee hyperextension (>5°) or other nonmodifiable risk factors, including high-risk
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Revision Total Hip Arthroplasty in Octogenarians Compared with Septuagenarians: Is There a Real Difference? J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-18 Justin A Magnuson,Sean A Griffin,Ryan M Sutton,Olivia Blaber,Kerri-Anne Ciesielka,P Maxwell Courtney,Chad A Krueger
BACKGROUND The increasing frequency of total hip arthroplasty (THA) as well as an aging population indicate that the need for revision THA will continue to grow, especially in older and potentially medically complex patients. The purpose of this study was to compare THA revision indications, perioperative complications, and readmissions between octogenarian and septuagenarian patients. We hypothesized
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Radiographic Predictors of Conversion to Total Knee Arthroplasty After Tibial Plateau Fracture Surgery: Results in a Large Multicenter Cohort. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-17 Nick Assink,Mostafa El Moumni,Joep Kraeima,Eelke Bosma,Robert J Nijveldt,Sven H van Helden,Thijs P Vaartjes,Joost G Ten Brinke,Max J H Witjes,Jean-Paul P M de Vries,Frank F A IJpma
BACKGROUND Radiographic measurements of initial displacement of tibial plateau fractures and of postoperative reduction are used to determine treatment strategy and prognosis. We assessed the association between radiographic measurements and the risk of conversion to total knee arthroplasty (TKA) at the time of follow-up. METHODS A total of 862 patients surgically treated for tibial plateau fractures
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Personalized Surgery Based on Large Databases Is the Next Step to Be Taken: Commentary on an article by Mei Lin Tay, MSc, et al.: "Similar Survivorship but Different Revision Reasons for Uncemented Mobile-Bearing and Cemented Fixed-Bearing Medial UKA. A Long-Term Population-Based Cohort Study of 2,015 Patients". J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-17 Cécile Batailler
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Medicaid Patients Undergo Total Joint Arthroplasty at Lower-Volume Hospitals by Lower-Volume Surgeons and Have Poorer Outcomes. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-16 Anna Cohen-Rosenblum,Mary K Richardson,Kevin C Liu,Jennifer C Wang,Amit S Piple,Charles Hansen,Alexander B Christ,Nathanael D Heckmann
BACKGROUND Medicaid insurance coverage among patients undergoing total hip arthroplasty (THA) or those undergoing total knee arthroplasty (TKA) has been associated with worse postoperative outcomes compared with patients without Medicaid. Surgeons and hospitals with lower annual total joint arthroplasty (TJA) volume have also been associated with worse outcomes. This study sought to characterize the
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The Microbiome of Osteoarthritic Hip and Knee Joints: A Prospective Multicenter Investigation. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-16 Karan Goswami,Samuel Clarkson,Craig Tipton,Caleb D Phillips,Douglas A Dennis,Brian A Klatt,Michael O'Malley,Eric L Smith,Jeremy Gililland,Christopher E Pelt,Christopher L Peters,Arthur L Malkani,Brian T Palumbo,Steven T Lyons,Thomas L Bernasek,Jon Minter,Nitin Goyal,William Purtill,James F McDonald,Michael B Cross,Hernan A Prieto,Gwo-Chin Lee,Erik N Hansen,Stefano A Bini,Derek T Ward,Neil Zhao,Noam
BACKGROUND Recent advances in high-throughput DNA sequencing technologies have made it possible to characterize the microbial profile in anatomical sites previously assumed to be sterile. We used this approach to explore the microbial composition within joints of osteoarthritic patients. METHODS This prospective multicenter study recruited 113 patients undergoing hip or knee arthroplasty between 2017
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A Torn Discoid Lateral Meniscus Impacts Lower-Limb Alignment Regardless of Age: Surgical Treatment May Not Be Appropriate for an Asymptomatic Discoid Lateral Meniscus. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-16 Kai Lei,Liming Liu,Liu Yang,Lin Guo,Dejie Fu
BACKGROUND A discoid lateral meniscus (DLM) is more prone to tear, and treatment of this condition is challenging. The purpose of the present study was to investigate (1) whether a torn DLM is associated with more varus alignment than a torn semilunar lateral meniscus (SLM) and (2) whether the lower-limb alignment associated with a torn DLM changes with age. METHODS Consecutive patients who underwent
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Extensor Mechanism Disruption Impacts Treatment of Dislocated and Multiligament Injured Knees: Treatment and Schenck Classification Recommendations Based on a Global Delphi Method. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-15 Michael J Medvecky,Joseph B Kahan,Dustin L Richter,Wasif Islam,William M McLaughlin,Jay Moran,Michael J Alaia,Mark D Miller,Daniel C Wascher,Gehron P Treme,Túlio V O Campos,Michael Held,Robert C Schenck,
BACKGROUND Multiligament knee injury (MLKI) with associated extensor mechanism (EM) involvement is a rare injury, with limited evidence to guide optimal treatment. The purpose of this study was to identify areas of consensus among a group of international experts regarding the treatment of patients with MLKI and concomitant EM injury. METHODS Utilizing a classic Delphi technique, an international group
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Association Between Radiographic and Clinical Outcomes Following Distal Radial Fractures: A Prospective Cohort Study with 1-Year Follow-up in 366 Patients. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-12 Viktor Schmidt,Max Gordon,Magnus Tägil,Arkan Sayed-Noor,Sebastian Mukka,Mats Wadsten
BACKGROUND Several studies of distal radial fractures have investigated final displacement and its association with clinical outcomes. There is still no consensus on the importance of radiographic outcomes, and published studies have not used the same criteria for acceptable alignment. Previous reports have involved the use of linear or dichotomized analyses. METHODS The present study included 438
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What's Important: As Surgeons, We Need to Confront Our Cognitive Biases. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-12 Dipit Sahu
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AOA Critical Issues Symposium: Shaping the Impact of Artificial Intelligence within Orthopaedic Surgery. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-12 Alpesh A Patel,Joseph H Schwab,Derek F Amanatullah,Srikanth N Divi
Artificial intelligence (AI) is a broad term that is widely used but inconsistently understood. It refers to the ability of any machine to exhibit human-like intelligence by making decisions, solving problems, or learning from experience. With its ability to rapidly process large amounts of information, AI has already transformed many industries such as entertainment, transportation, and communications
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What's Important: Patient Voices Matter: A Place for Patient-Reported Outcomes in Medical Education. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-11 Samuel A Florentino
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Dual Inhibition of the Wnt Inhibitors DKK1 and Sclerostin Promotes Fracture Healing and Increases the Density and Strength of Uninjured BoneAn Experimental Study in Nonhuman Primates. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-09 Monica Florio,Paul J Kostenuik,Marina Stolina,Franklin J Asuncion,Mario Grisanti,Hua Zhu Ke,Michael S Ominsky
BACKGROUND Fracture repair involves the reactivation of developmental signaling cascades, including Wnt signaling that stimulates bone formation and bone regeneration. Rodent data indicate that dual inhibition of the Wnt signaling antagonists sclerostin and Dickkopf-1 (DKK1) increases callus bone volume and strength while increasing bone mass systemically. METHODS We evaluated the effects of 16 weeks
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Trends in Female Authorship in Orthopaedic Literature from 2002 to 2021: An Analysis of 168,451 Authors. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-08 Yasmine S Ghattas,Cynthia Kyin,Alison Grise,Jillian Glasser,Taylor Johnson,Katherine Druskovich,Lisa K Cannada,Benjamin C Service
BACKGROUND Significant gender disparity exists in orthopaedic surgery. While women have increasingly entered the field, we are short of the critical mass needed to drive change, including in authorship. This study aimed to characterize trends in authorship in peer-reviewed orthopaedic journals in the context of gender. METHODS This is a cross-sectional bibliometric study of orthopaedic journals in
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Ten-Year Survivorship and Patient Satisfaction Following Robotic-Arm-Assisted Medial Unicompartmental Knee Arthroplasty: A Prospective Multicenter Study. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-05 Tarik Bayoumi,Laura J Kleeblad,Todd A Borus,Thomas M Coon,Jon Dounchis,Joseph T Nguyen,Andrew D Pearle
BACKGROUND Robotic-arm-assisted unicompartmental knee arthroplasty (UKA) has been shown to result in high short- and mid-term survivorship. However, it is not known whether these outcomes are maintained at long-term follow-up. This study aimed to evaluate long-term implant survivorship, modes of failure, and patient satisfaction following robotic-arm-assisted medial UKA. METHODS A prospective multicenter
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Borderline Dysplasia After Primary Hip Arthroscopy with Capsular Plication and Labral Preservation: Ten-Year Survivorship and Patient-Reported Outcomes J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-03 Benjamin G. Domb, Jade S. Owens, Rachel M. Glein, Andrew E. Jimenez, David R. Maldonado
Background: The arthroscopic management of borderline hip dysplasia (BHD) is controversial, and long-term follow-up data are scarce. The purpose of this study was to report prospectively collected survivorship and patient-reported outcome measures (PROMs) at a minimum 10-year follow-up following primary hip arthroscopy with capsular plication and labral preservation in patients with BHD. Methods:
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The Risk of Nerve Injury in Pediatric Forearm Fractures. J. Bone Joint. Surg. (IF 5.3) Pub Date : 2023-05-03 Kaj Zilliacus,Yrjänä Nietosvaara,Ilkka Helenius,Topi Laaksonen,Matti Ahonen,Petra Grahn
BACKGROUND The risk of fracture-related nerve injury associated with forearm fractures in children is unknown. The purposes of the present study were to calculate the risk of fracture-related nerve injury and to report the institutional rate of complications of surgical treatment of pediatric forearm fractures. METHODS Four thousand, eight hundred and sixty-eight forearm fractures (ICD-10 codes S52