Prevalence of Rotator Cuff Repairs with and Without Concomitant Subacromial Decompressions Has Not Changed
ConclusionDisproving our hypothesis, the overall rate of RCR with or without SAD did not decrease over the period from 2010 to 2012. There was wide variation in the rate of RCR by state; however, this variation was not seen in the incidence of SAD performed concomitant with the RCR. (Source: HSS Journal)
Source: HSS Journal - January 4, 2018 Category: Orthopaedics Source Type: research
A New Preoperative Planning Technique Can Reduce Radiation Exposure During the Performance of Medial Opening-Wedge High Tibial Osteotomy
ConclusionsThis new preoperative planning technique achieves similar accuracy of the lateral bone hinge when compared to current methods but exposes the patient, surgeon, and staff to significantly less intraoperative radiation. (Source: HSS Journal)
Source: HSS Journal - December 26, 2017 Category: Orthopaedics Source Type: research
Firefighters Have a Higher Incidence of Trochlear Chondral Lesions than the Normal Population
ConclusionsA “firefighter’s trochlea” was present in the majority of firefighters undergoing knee arthroscopy. Higher age and longer tenure as a firefighter prior to surgery were associated with more advanced lesions. Firefighters working in engine companies at the time of arthroscopy were at a greater ris k of developing low-grade lesions but not high-grade lesions. Firefighters move between ladder and engine companies, thus a definitive association with company type cannot be reached in this retrospective study. This lesion may reflect the increase in patellofemoral biomechanical stresses secondary to the physical ...
Source: HSS Journal - December 26, 2017 Category: Orthopaedics Source Type: research
An Alternative Macrophage Activation Pathway Regulator, CHIT1, May Provide a Serum and Synovial Fluid Biomarker of Periprosthetic Osteolysis
ConclusionsIn this prospective case-control study, CHIT1 was identified as a novel synovial fluid and serum biomarker of PPO. CHIT1 expression is induced during macrophage activation in response to wear debris. CHIT1 monitoring may facilitate early diagnosis of THR PPO. Furthermore, CHIT1 may represent a novel therapeutic target for PPO. (Source: HSS Journal)
Source: HSS Journal - December 26, 2017 Category: Orthopaedics Source Type: research
Effects of Abduction Pillows on Rotator Cuff Repair: A Biomechanical Analysis
ConclusionThese findings show that abduction pillows reduce tension on the repaired supraspinatus tendon. (Source: HSS Journal)
Source: HSS Journal - December 26, 2017 Category: Orthopaedics Source Type: research
A Culture of Safety
(Source: HSS Journal)
Source: HSS Journal - December 18, 2017 Category: Orthopaedics Source Type: research
Component Placement Accuracy in Unicompartmental Knee Arthroplasty Is Improved with Robotic-Assisted Surgery: Will It Have an Effect on Outcomes?
AbstractBell et al. ’s “Improved Accuracy of Component Positioning with Robotic-Assisted Unicompartmental Knee Arthroplasty: Data from a Prospective, Randomized Controlled Study” compared the accuracy of a robotic-assisted unicompartmental knee arthroplasty (UKA) using the MAKO Robotic Interactive Orthopedic Arm (RIO) system to a conventional UKA using standardized instrumentation. This review examines the authors’ findings and their relevance to clinical practice. Bell et al. conclude that the MAKO RIO system leads to more accurate implantation of both the tibial and femoral components in UKA in the sagi ttal, cor...
Source: HSS Journal - December 11, 2017 Category: Orthopaedics Source Type: research
Optimizing Intraoperative Blood Management for One-Stage Bilateral Total Knee Arthroplasty
ConclusionCombined proper intraoperative anesthesiologic, surgical, and pharmacologic interventions reduce blood loss and need for transfusion in BTKA patients. However, contemporary relevant literature is lacking evidence-based guidelines. (Source: HSS Journal)
Source: HSS Journal - December 7, 2017 Category: Orthopaedics Source Type: research
The Incidence of Complications Is Low Following Foot and Ankle Surgery for Which Peripheral Nerve Blocks Are Used for Postoperative Pain Management
ConclusionsThe incidences of neurologic or block-related complications and serious complications were 7.2 and 0.7%, respectively, most without a clear surgical vs. nerve block etiology. The higher complication rate for POPs using perineural dexamethasone should be interpreted cautiously in light of the lack of randomization and likely confounders. (Source: HSS Journal)
Source: HSS Journal - December 7, 2017 Category: Orthopaedics Source Type: research
A Preliminary Comparison Suggests Poor Performance of Carbon Fiber Reinforced Versus Titanium Plates in Distal Femoral Osteotomy
ConclusionThe CFR plate was associated with a longer time to unite and higher fracture displacement rate than the titanium plate. As this is a retrospective case series, further research is required to confirm these results and clarify best practices in plating of distal femoral osteotomy for deformity correction. (Source: HSS Journal)
Source: HSS Journal - December 7, 2017 Category: Orthopaedics Source Type: research
Bariatric Surgery Following Total Shoulder Arthroplasty Increases the Risk for Mechanical Complications Including Instability and Prosthetic Loosening
ConclusionsBS following TSA is associated with increased rates of mechanical complications, including instability and loosening, compared to BS prior to TSA. These findings suggest that it may be prudent to consider performing BS prior to TSA in morbidly obese patients, rather than waiting until after TSA is performed. (Source: HSS Journal)
Source: HSS Journal - November 27, 2017 Category: Orthopaedics Source Type: research
Implant Removal and Spacer Placement for Infected Shoulder Arthroplasty: Risk Factors for Repeat Procedures, Spacer Retention, and Mortality
ConclusionThe fate of antibiotic spacers placed for PJI of the shoulder at 1 year is variable, with numerous independent risk factors for outcomes other than reimplantation. Patients with PJI following total shoulder arthroplasty should be counseled on the risk factors that influence the outcomes of staged revision for shoulder PJI. (Source: HSS Journal)
Source: HSS Journal - November 27, 2017 Category: Orthopaedics Source Type: research
Tendon Excision Following Distal Semitendinosus Injury in the Elite Athlete: A Surgical Technique
ConclusionIn this setting, we present a detailed surgical technique to excise the injured distal semitendinosus tendon to promote recovery and potentially allow for earlier return to play. (Source: HSS Journal)
Source: HSS Journal - November 27, 2017 Category: Orthopaedics Source Type: research
The Infection Rate of Metal-on-Metal Total Hip Replacement Is Higher When Compared to Other Bearing Surfaces as Documented by the Australian Orthopaedic Association National Joint Replacement Registry
ConclusionThere was a higher cumulative percent of revision for infection in MoM bearings surfaces (in particular, large-head MoM) compared to other bearing surfaces at both the national and individual-surgeon level. (Source: HSS Journal)
Source: HSS Journal - November 13, 2017 Category: Orthopaedics Source Type: research
Pregabalin Did Not Improve Pain Management After Spinal Fusions
ConclusionAfter PLF, patients receiving pregabalin 150 mg/day did not have reduced IV narcotic usage, improved PT milestones, or reduced length of hospital stay. We were unable to demonstrate an analgesic advantage to prescribing pregabalin to patients undergoing lumbar spinal fusions. (Source: HSS Journal)
Source: HSS Journal - November 6, 2017 Category: Orthopaedics Source Type: research
