Static Versus Expandable Devices Provide Similar Clinical Outcomes Following Minimally Invasive Transforaminal Lumbar Interbody Fusion
ConclusionMIS TLIF with an expandable interbody device led to a greater increase of DH and FH than with a static interbody device. Patients undergoing MIS TLIF can expect similar improvements in PROs whether receiving a static or an expandable interbody device. Further studies are required to better understand improvements in clinical outcomes afforded by expandable interbody devices. (Source: HSS Journal)
Source: HSS Journal - March 26, 2019 Category: Orthopaedics Source Type: research
Biomechanical Comparison of Two Pediatric Blade Plate Designs in Proximal Femoral Osteotomies
ConclusionsPlate B failed at a higher axial load in biomechanical testing, likely related to differences in its design. The addition of a proximal screw did not increase the axial loading properties of the blade plate construct but did increase the pullout strength by a factor of 12. These results may be used to influence implant selection and post-operative rehabilitation following proximal femoral osteotomies in children. (Source: HSS Journal)
Source: HSS Journal - March 25, 2019 Category: Orthopaedics Source Type: research
Biomechanical and Functional Improvements Gained by Proximal Tibia Osteotomy Correction of Genu Varum in Patients with Knee Pain
ConclusionThese findings suggest that bilateral proximal tibial osteotomy may be effective in improving knee biomechanics during gait and correcting mechanical alignment in patients with bilateral genu varum. Patients also demonstrated improvement in functional outcome scores. This technique should thus be considered in patients with varus knee osteoarthritis in the setting of genu varum to alleviate symptoms and potentially decrease further clinical deterioration. (Source: HSS Journal)
Source: HSS Journal - March 18, 2019 Category: Orthopaedics Source Type: research
Risk Factors and Complications for Revision Shoulder Arthroplasty
ConclusionDespite limitations inherent in database studies, this data may have utility for surgeons in pre-operative counseling of patients on their risk. (Source: HSS Journal)
Source: HSS Journal - February 28, 2019 Category: Orthopaedics Source Type: research
In Patients with Early-Onset Scoliosis, Can Growing Rods Be Removed Without Further Instrumentation? An Evidenced-Based Review
This article provides a critical review of a recent prospective cohort study of children with EOS: “Graduation Protocol After Growing-Rod Treatment: Removal of Implants withou t New Instrumentation Is Not a Realistic Approach,” by Kocyigit and colleagues (J Bone Joint Surg Am. 2017;99(18):1554 –1564). Treatment for EOS requires deformity correction while accommodating the growing spine. Dual growing rod implantation is a well-described technique that consists of the placement of two telescoping rods anchored to vertebrae proximal and distal to the apex of the curve. Multiple lengthening procedures are then performed ...
Source: HSS Journal - February 27, 2019 Category: Orthopaedics Source Type: research
Ultrasound Is an Alternative to X-ray for Diagnosing Developmental Dysplasia of the Hips in 6-Month-Old Children
ConclusionsUltrasound is a technically feasible DDH imaging modality that can be used as an alternative to X-ray for 6-month-olds. (Source: HSS Journal)
Source: HSS Journal - February 22, 2019 Category: Orthopaedics Source Type: research
Improvements in Back and Leg Pain After Minimally Invasive Lumbar Decompression
ConclusionsPatients reported improvements in back and leg pain following minimally invasive lumbar decompression regardless of predominant presenting symptom; however, patients with predominant leg pain may experience greater improvement than those with predominant back pain. (Source: HSS Journal)
Source: HSS Journal - February 22, 2019 Category: Orthopaedics Source Type: research
Biplanar Low-Dose Radiography Is Accurate for Measuring Combined Anteversion After Total Hip Arthroplasty
ConclusionBiplanar radiography is a reliable low-radiation alternative for measuring acetabular inclination, acetabular anteversion, femoral version, and thus combined anteversion compared to CT. Femoral anteversion had the most variability but is still clinically relevant. (Source: HSS Journal)
Source: HSS Journal - February 5, 2019 Category: Orthopaedics Source Type: research
Consensus Statement: Toward Opioid-Free Arthroplasty: A Leadership Forum
(Source: HSS Journal)
Source: HSS Journal - February 1, 2019 Category: Orthopaedics Source Type: research
Orthopedic Surgery and its Relationship to the Opioid Epidemic: A Forum and Consensus
(Source: HSS Journal)
Source: HSS Journal - January 30, 2019 Category: Orthopaedics Source Type: research
Reduced Opioid Use After Surgeon-Administered Genicular Nerve Block for Anterior Cruciate Ligament Reconstruction in Adults and Adolescents
ConclusionOpioid use was unexpectedly low among patients undergoing ACLR after a surgeon-administered circumferential genicular nerve block and fat pad infiltration. With this protocol, the graft choice and patient age did not correlate with increased opioid use. These results could be useful in guiding post-operative opioid prescribing after ACLR. (Source: HSS Journal)
Source: HSS Journal - January 28, 2019 Category: Orthopaedics Source Type: research
Opioid Prescribing and Physician Autonomy: A Quality of Care Perspective
(Source: HSS Journal)
Source: HSS Journal - January 28, 2019 Category: Orthopaedics Source Type: research
Danger Close: What Opioid Prescribers Can Learn from the Way the Air Force Drops a Bomb
(Source: HSS Journal)
Source: HSS Journal - January 14, 2019 Category: Orthopaedics Source Type: research
Fighting Back: Institutional Strategies to Combat the Opioid Epidemic: A Systematic Review
ConclusionsResearchers are just beginning to establish the most effective ways for institutions to reduce opioid use and promote responsible post-operative prescribing. Institutional prescribing guidelines, standardized bedside pain-management programs, and formal patient education curriculums are all evidence-based interventions that can achieve these goals. The available research also supports an interprofessional approach in any institutional opioid-reduction strategy. (Source: HSS Journal)
Source: HSS Journal - January 14, 2019 Category: Orthopaedics Source Type: research
Radiographic Musculoskeletal Findings Indicating Opioid Misuse: An Overview for Orthopedic Surgeons
ConclusionKnowledge of the radiologic findings of opioid misuse will assist orthopedic surgeons in making timely diagnoses that may alter therapeutic regimens for their patients. (Source: HSS Journal)
Source: HSS Journal - January 8, 2019 Category: Orthopaedics Source Type: research
