Whats New in Hip Replacement
(Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Ninomiya, J. T., Dean, J. C., Incavo, S. J. Tags: Hip Specialty Update Source Type: research
The Effects of Acupuncture on Chronic Knee Pain Due to Osteoarthritis: A Meta-Analysis
Conclusions:
This meta-analysis demonstrates that acupuncture can improve short and long-term physical function, but it appears to provide only short-term pain relief in patients with chronic knee pain due to osteoarthritis.
Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Lin, X., Huang, K., Zhu, G., Huang, Z., Qin, A., Fan, S. Tags: Knee Evidence-Based Orthopaedics Source Type: research
Return to Work and Sport Following High Tibial Osteotomy: A Systematic Review
Conclusions:
The majority of patients undergoing HTO return to sport and work, and most return within 1 year of the operation. Most patients return to sport at a level equal to or greater than the preoperative level. Approximately two-thirds of patients return to an equal or greater level of physical work.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Ekhtiari, S., Haldane, C. E., de SA, D., Simunovic, N., Musahl, V., Ayeni, O. R. Tags: Knee, Sports Medicine Scientific Articles Source Type: research
Patient Compliance with Postoperative Lower-Extremity Non-Weight-Bearing Restrictions
Conclusions:
The noncompliance rate with the postoperative non-weight-bearing restriction was 27.5% (95% confidence interval, 15.2% to 39.8%) in this patient group, despite explicit instructions and education about possible complications associated with weight-bearing. The only factor found to have a significant effect on weight-bearing compliance was the time of year that the cast was worn. No significant difference was found between the complication rate of the compliant patients and that of the noncompliant patients.
Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of leve...
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Chiodo, C. P., Macaulay, A. A., Palms, D. A., Smith, J. T., Bluman, E. M. Tags: Trauma Scientific Articles Source Type: research
Are We Prescribing Our Patients Too Much Pain Medication?: Best Predictors of Narcotic Usage After Spinal Surgery for Scoliosis
Conclusions:
Postoperative narcotic dosing may be improved by considering patient age, weight, sex, and preoperative pain score. The precise estimation of individual narcotic needs is complex. Patient and family education on the importance and proper method of narcotic disposal is an essential component of minimizing the availability of unused postoperative medication.
Level of Evidence:
Prognostic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Grant, D. R., Schoenleber, S. J., McCarthy, A. M., Neiss, G. I., Yorgova, P. K., Rogers, K. J., Gabos, P. G., Shah, S. A. Tags: Pediatrics, Spine Scientific Articles Source Type: research
Postoperative Limb-Offset Discrepancy Notably Affects Soft-Tissue Tension in Total Hip Arthroplasty
Conclusions:
Postoperative limb-offset discrepancy significantly affected the soft-tissue tension in total hip arthroplasty at varying degrees of flexion. This indicated that it is important to restore normal limb offset without overlengthening to obtain adequate soft-tissue tension in total hip arthroplasty.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Takao, M., Nishii, T., Sakai, T., Sugano, N. Tags: Hip Scientific Articles Source Type: research
Cellular and Morphological Alterations in the Vastus Lateralis Muscle as the Result of ACL Injury and Reconstruction
Conclusions:
Significant and prolonged differences in muscle quality and morphology occurred after ACL injury and persisted despite reconstruction and extensive physical therapy.
Clinical Relevance:
These results suggest the need to develop more effective early interventions following an ACL tear to prevent deleterious alterations within the quadriceps. (Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Noehren, B., Andersen, A., Hardy, P., Johnson, D. L., Ireland, M. L., Thompson, K. L., Damon, B. Tags: Basic Science, Sports Medicine Scientific Articles Source Type: research
Demographic, Clinical, and Operative Factors Affecting Long-Term Revision Rates After Cervical Spine Arthrodesis
Conclusions:
Primary subaxial cervical spine arthrodeses had a probability of revision approaching 13% over a 16-year period, with elevated reoperation rates in patients undergoing anterior-only surgical procedures. Age, race, insurance status, surgical indication, and number of spinal levels included in the arthrodesis were also associated with reoperation risk.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Derman, P. B., Lampe, L. P., Hughes, A. P., Pan, T. J., Kueper, J., Girardi, F. P., Albert, T. J., Lyman, S. Tags: Spine Scientific Articles Source Type: research
Development and Validation of a Preoperative Surgical Site Infection Risk Score for Primary or Revision Knee and Hip Arthroplasty
Conclusions:
The patient comorbidities composing the risk score heavily influenced SSI risk for primary or revision knee and hip arthroplasty. We believe that infection risk can be objectively determined in a preoperative setting with the proposed SSI risk score. (Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Everhart, J. S., Andridge, R. R., Scharschmidt, T. J., Mayerson, J. L., Glassman, A. H., Lemeshow, S. Tags: Hip, Infection, Knee Scientific Articles Source Type: research
Intra-Articular Cellular Therapy for Osteoarthritis and Focal Cartilage Defects of the Knee: A Systematic Review of the Literature and Study Quality Analysis
Conclusions:
The studies of intra-articular cellular therapy injections for osteoarthritis and focal cartilage defects in the human knee suggested positive results with respect to clinical improvement and safety. However, the improvement was modest and a placebo effect cannot be disregarded. The overall quality of the literature was poor, and the methodological quality was fair, even among Level-II and III studies. Effective clinical assessment and optimization of injection therapies will demand greater attention to study methodology, including blinding; standardized quantitative methods for cell harvesting, processing, ch...
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Chahla, J., Piuzzi, N. S., Mitchell, J. J., Dean, C. S., Pascual-Garrido, C., LaPrade, R. F., Muschler, G. F. Tags: Knee Scientific Articles Source Type: research
Stem Cell Therapy for Knee Pain--What Exactly Are We Injecting, and Why?
(Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Bauer, T. W. Tags: Basic Science Editorial Source Type: research
Consider the Patient When Prescribing Total Non-Weight-Bearing: Commentary on an article by Christopher P. Chiodo, MD, et al.: "Patient Compliance with Postoperative Lower-Extremity Non-Weight-Bearing Restrictions"
(Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Bogie, K. Tags: Trauma Commentary and Perspective Source Type: research
What Happened to My Quad?: Commentary on an article by Brian Noehren, PT, PhD, et al.: "Cellular and Morphological Alterations in the Vastus Lateralis Muscle as the Result of ACL Injury and Reconstruction"
(Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Magnussen, R. A. Tags: Basic Science, Sports Medicine Commentary and Perspective Source Type: research
Surgical Site Infection: Can We Predict the Future?: Commentary on an article by Joshua S. Everhart, MD, MPH, et al.: "Development and Validation of a Preoperative Surgical Site Infection Risk Score for Primary or Revision Knee and Hip Arthroplasty"
(Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Keeney, J. A. Tags: Hip, Infection, Knee Commentary and Perspective Source Type: research
Distribution of High-Volume Shoulder Arthroplasty Surgeons in the United States: Data from the 2014 Medicare Provider Utilization and Payment Data Release
Conclusions:
Access to high-volume shoulder arthroplasty surgeons by the Medicare population is lacking in multiple major metropolitan areas in the United States because of the uneven distribution of these surgeons. The method of analysis in this study allows for opportunities to target training programs as well as placement of physicians to ensure access to high-volume shoulder arthroplasty surgeons. (Source: JBJS)
Source: JBJS - September 20, 2016 Category: Orthopaedics Authors: Somerson, J. S., Stein, B. A., Wirth, M. A. Tags: Shoulder The Orthopaedic Forum Source Type: research
