Cost-effectiveness of Operative Versus Non-operative Management of Acute Achilles Tendon Ruptures
ConclusionFor acute Achilles tendon ruptures, non-operative treatment provided greater benefits and lower costs than operative management in the base case; however, surgical costs and the economic impact associated with return to work are important determinants of the preferred cost-effective strategy. (Source: HSS Journal)
Source: HSS Journal - June 7, 2019 Category: Orthopaedics Source Type: research
Patient Diversity Is Our Reality: the Covariates Matter
(Source: HSS Journal)
Source: HSS Journal - June 3, 2019 Category: Orthopaedics Source Type: research
Patient-Related Risk Factors for Contralateral Anterior Cruciate Ligament (ACL) Tear After ACL Reconstruction: An Analysis of 3707 Primary ACL Reconstructions
ConclusionWe were able to adequately power an analysis to identify several significant patient-related risk factors for contralateral ACL rupture after primary ACL reconstruction, including younger age, female gender, tobacco use, and depression. This information can be used to counsel patients on the risk of injury to the contralateral knee. (Source: HSS Journal)
Source: HSS Journal - May 29, 2019 Category: Orthopaedics Source Type: research
Determining the Effects of a 4-Week Structured Strength and Flexibility Exercise Program on Functional Status of Subjects with Osteoporosis
ConclusionThis study showed that women with osteoporosis demonstrated improved balance and lower-extremity strength after participating in a structured exercise program. These changes may be important in improving overall functional status. (Source: HSS Journal)
Source: HSS Journal - May 21, 2019 Category: Orthopaedics Source Type: research
Orthopedic Injuries Associated with Hoverboard Use in Children: A Multi-center Analysis
ConclusionsHoverboards were associated with a variety of pediatric orthopedic injuries and required the use of significant resources in the ED, UC, and operating room. These data may represent a starting point for further prospective multi-center studies and public health efforts toward prevention of hoverboard injuries. (Source: HSS Journal)
Source: HSS Journal - May 20, 2019 Category: Orthopaedics Source Type: research
Correction to: Risk Factors and Complications for Revision Shoulder Arthroplasty
The name of author Anirudh K. Gowd was listed incorrectly in the original article. It is corrected here. (Source: HSS Journal)
Source: HSS Journal - April 30, 2019 Category: Orthopaedics Source Type: research
Total Hip Arthroplasty Performed for Coxarthrosis Preserves Long-Term Physical Function: A 40-Year Experience
ConclusionsAll classes in the study population enjoyed good-to-excellent outcomes after THA for about 20 years. Thereafter, functional decline was attributed more to aging than to the need for revision. One or more revision THA did not negatively influence long-term clinical outcomes, suggesting that, even for younger patients, symptoms, rather than the avoidance of possible revision, should be the p rimary determining factor when indicating THA. (Source: HSS Journal)
Source: HSS Journal - April 21, 2019 Category: Orthopaedics Source Type: research
Radiographic Humerus Union Measurement (RHUM) Demonstrates High Inter- and Intraobserver Reliability in Assessing Humeral Shaft Fracture Healing
ConclusionsThis cortical scoring system has excellent interobserver reliability in humeral shaft fractures treated non-operatively. Consistent with previous cortical scoring systems, a RHUM score of 10 or above can be considered radiographically healed. (Source: HSS Journal)
Source: HSS Journal - April 21, 2019 Category: Orthopaedics Source Type: research
The Survivorship of the Uncemented Iso-Elastic Monoblock Acetabular Component at a Mean of 6-Year Follow-up
ConclusionsThis prospective cohort study has shown no adverse reactions concerning the vitamin E additive, promising wear rates, no signs of osteolysis, a 100% survival rate for aseptic loosening, and an all-cause survivorship percentage of 97.4% at 6 years of follow-up. (Source: HSS Journal)
Source: HSS Journal - April 9, 2019 Category: Orthopaedics Source Type: research
Future Demand for Total Joint Arthroplasty Drives Renewed Interest in Arthroplasty Fellowship
ConclusionDuring the study period, orthopedic surgeon, resident, and arthroplasty fellow volume have increased, although at a slower rate than TJA procedure growth. Renewed interest in arthroplasty fellowships has been demonstrated by an increase in the number and near complete filling of all available positions. (Source: HSS Journal)
Source: HSS Journal - April 8, 2019 Category: Orthopaedics Source Type: research
The Effect of Bariatric Surgery Prior to Lower-Extremity Total Joint Arthroplasty: A Systematic Review
ConclusionThe literature remains conflicted on the impact of BS prior to TJA on early, short-term, and long-term complications after TJA. Additional well-matched, observational studies may further our understanding of the impact of BS prior to TJA on outcomes. In particular the effect of various types of BS prior to TJA on outcomes has yet to be elucidated. Ideally, prospective studies with higher level of evidence will be more definitive on the effects of BS prior to TJA.Prospero Registration Number: CRD42016043025. (Source: HSS Journal)
Source: HSS Journal - April 8, 2019 Category: Orthopaedics Source Type: research
MRI Findings at the Bone-Component Interface in Symptomatic Unicompartmental Knee Arthroplasty and the Relationship to Radiographic Findings
(Source: HSS Journal)
Source: HSS Journal - April 2, 2019 Category: Orthopaedics Source Type: research
Findings at the Bone-Component Interface in Symptomatic Unicompartmental Knee Arthroplasty and the Relationship to Radiographic Findings
(Source: HSS Journal)
Source: HSS Journal - April 2, 2019 Category: Orthopaedics Source Type: research
Correction to: Opioid-Free Total Knee Arthroplasty? Local Infiltration Analgesia Plus Multimodal Blood-Loss Prevention Make it Possible
Due to a metadata tagging error, the name of author E. Carlos Rodriguez-Merchan was indexed incorrectly. E. Carlos is the given name and Rodriguez-Merchan is the family name. (Source: HSS Journal)
Source: HSS Journal - March 31, 2019 Category: Orthopaedics Source Type: research
Chronic Lower Leg Pain in Athletes: Overview of Presentation and Management
ConclusionsMultiple conditions may result in lower leg pain in athletes. A focused clinical history and physical examination supplemented with appropriate imaging studies can guide clinicians in diagnosis and management. We provide a table to aid in the differential diagnosis of chronic leg pain in the athlete. (Source: HSS Journal)
Source: HSS Journal - March 27, 2019 Category: Orthopaedics Source Type: research
