The Michigan Experience with Safety and Effectiveness of Tranexamic Acid Use in Hip and Knee Arthroplasty
Conclusions:
In routine orthopaedic surgery practice, TXA use was associated with decreased blood loss and transfusion risk for both total knee and total hip arthroplasty, without evidence of increased risk of complications. TXA use was also associated with reduced risk of readmission among total hip arthroplasty patients and reduced risk of VTE among total knee arthroplasty patients, and did not have an adverse effect on cardiovascular complications in either group.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Hallstrom, B., Singal, B., Cowen, M. E., Roberts, K. C., Hughes, R. E. Tags: Hip, Knee Scientific Articles Source Type: research
The Accuracy of Imaging Techniques in the Assessment of Periprosthetic Hip Infection: A Systematic Review and Meta-Analysis
Conclusions:
Of the currently used imaging techniques, leukocyte scintigraphy has satisfactory accuracy in confirming or excluding periprosthetic hip infection. Although not significantly different, combined leukocyte and bone marrow scintigraphy was the most specific imaging technique. FDG PET has an appropriate accuracy in confirming or excluding periprosthetic hip infection, but may not yet be the preferred imaging modality because of limited availability and relatively higher cost.
Level of Evidence:
Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Verberne, S. J., Raijmakers, P. G., Temmerman, O. P. P. Tags: Hip, Infection Scientific Articles Source Type: research
Outcome of Revision Shoulder Arthroplasty After Resurfacing Hemiarthroplasty in Patients with Glenohumeral Osteoarthritis
Conclusions:
The outcome of revision shoulder arthroplasty after failed resurfacing hemiarthroplasty was variable and, in many cases, disappointing. It is important that resurfacing hemiarthroplasty is used for the correct indications and with adequate technique and skill. When resurfacing hemiarthroplasty is used in the treatment of osteoarthritis, revision cannot be counted upon as a fallback.
Level of Evidence:
Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Rasmussen, J. V., Olsen, B. S., Al-Hamdani, A., Brorson, S. Tags: Shoulder Scientific Articles Source Type: research
Functional Outcomes After Operative Management of Extra-Articular Glenoid Neck and Scapular Body Fractures
Conclusions:
Displaced scapular body and glenoid neck fractures that meet current published standards for ORIF can be treated operatively with predictably good functional outcomes.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Schroder, L. K., Gauger, E. M., Gilbertson, J. A., Cole, P. A. Tags: Shoulder, Trauma Scientific Articles Source Type: research
Cardiopulmonary Exercise Testing in Patients with Idiopathic Scoliosis
Conclusions:
Overall exercise tolerance was not correlated with the magnitude of the thoracic curve and kyphosis. Some parameters of ventilatory function and pulmonary gas exchange worsened as thoracic curvature increased or kyphosis decreased. Exercise capacity was better in patients who engaged in regular aerobic exercise, and physical activity is recommended for patients with idiopathic scoliosis.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Shen, J., Lin, Y., Luo, J., Xiao, Y. Tags: Pediatrics, Spine Scientific Articles Source Type: research
Radiographic Changes in the Cervical Spine Following Anterior Arthrodesis: A Long-Term Analysis of 166 Patients
Conclusions:
Multiple factors likely contribute to adjacent segment degeneration following cervical arthrodesis. Although mechanical parameters associated with arthrodesis, such as length and alignment of the fusion, did not appear to play a role, the preoperative degenerative condition of the spine and inclusion of C5-C6 in the arthrodesis influenced the incidence of adjacent segment degeneration.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Rao, R. D., Gore, D. R., Tang, S.-J., Rebholz, B. J., Yoganandan, N., Wang, M. Tags: Spine Scientific Articles Source Type: research
The Objective Measurement of Brace-Use Adherence in the Treatment of Idiopathic Clubfoot
Conclusions:
The present study objectively quantified the number of daily hours of post-corrective brace wear for patients with clubfoot in varying age groups and provides an estimate of the number of hours required to avoid relapse.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Sangiorgio, S. N., Ho, N. C., Morgan, R. D., Ebramzadeh, E., Zionts, L. E. Tags: Pediatrics Scientific Articles Source Type: research
A Forum for Whats Important
(Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Swiontkowski, M. Tags: Editorial Source Type: research
Erratum
(Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Tags: Erratum Source Type: research
Making Tranexamic Acid the Standard of Care in Hip and Knee Arthroplasty: Commentary on an article by Brian Hallstrom, MD, et al.: "The Michigan Experience with Safety and Effectiveness of Tranexamic Acid Use in Hip and Knee Arthroplasty"
(Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Friedman, R. J. Tags: Hip, Knee Commentary and Perspective Source Type: research
Radiographic Changes in the Cervical Spine Following Arthrodesis: Causation or Correlation?: Commentary on an article by Raj D. Rao, MD, et al.: "Radiographic Changes in the Cervical Spine Following Anterior Arthrodesis: A Long-Term Analysis of 166 Patients"
(Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Asghar, F. A. Tags: Spine Commentary and Perspective Source Type: research
Post-Interview Communication During Application to Orthopaedic Surgery Residency Programs
Conclusions:
Orthopaedic residency programs continue to communicate with applicants in ways that violate the National Resident Matching Program’s Match Communication Code of Conduct, and they continue to encourage second-look visits. To improve the integrity of the match, we suggest that programs use no-reply e-mails to minimize influence and pressure on applicants, interviewers and applicants review the Code of Conduct on interview day and provide instructions on reporting violations to the National Resident Matching Program, all post-interview communication be directed to a standardized or neutral third party, and ...
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Brooks, J. T., Reidler, J. S., Jain, A., LaPorte, D. M., Sterling, R. S. Tags: Topics in Training Source Type: research
Measuring Quality of Care with Patient Satisfaction Scores
Abstract:
Quality of care is a multidimensional concept encompassing safety, efficiency, outcomes, and the patient experience. Traditional quality metrics, such as mortality rates, complication rates, and patient-reported outcomes, are time-consuming and cost-consuming to obtain and risk-stratify. The implications of reimbursement related to patient satisfaction and the ease of data collection have contributed to the perception that satisfaction is a global indicator of health-care quality; however, high satisfaction scores are not consistently correlated with traditional outcome and safety indicators. Higher patient satis...
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Shirley, E. D., Sanders, J. O. Tags: The Orthopaedic Forum Source Type: research
The Early Impact of an Administrative Processing Fee on Manuscript Submissions at The Journal of Bone & Joint Surgery
Conclusions:
The administrative processing fee at JBJS has been associated with a decrease in submission volume, but, overall, there has not been a change in the characteristics of studies submitted. However, decreased overall volume implies a decrease in the absolute number of high-level studies submitted to the journal. Administrative processing fees at high-volume journals may be a financially viable way to offset high administrative costs without substantially changing the characteristics of submitted articles. (Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Nwachukwu, B. U., Schairer, W. W., So, C., Bernstein, J. L., Herndon, J., Dodwell, E. R. Tags: The Orthopaedic Forum Source Type: research
The Age of OrthoInfo: A Randomized Controlled Trial Evaluating Patient Comprehension of Informed Consent
Conclusions:
Multisensory patient education incorporating OrthoInfo and an anatomic model optimized patient comprehension immediately after a time-controlled informed consent discussion. This finding could play an important role in improving surgeon-patient communication in the field of orthopaedic surgery. (Source: JBJS)
Source: JBJS - October 4, 2016 Category: Orthopaedics Authors: Egekeze, N., Dubin, J., Williams, K., Bernhardt, M. Tags: Scientific Articles Source Type: research
