Humeral Shaft Fracture Fixation: Incidence Rates and Complications as Reported by American Board of Orthopaedic Surgery Part II Candidates
Conclusions:
Although the overall incidence of fixation of humeral shaft fractures was unchanged from 2004 to 2013, there was a significant shift from IMN to ORIF using plate fixation during this time period. Possible reasons for this shift in treatment to ORIF include the potential impact of recent publications highlighting complications of IMN and increased surgeon attention to cost containment.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - September 6, 2016 Category: Orthopaedics Authors: Gottschalk, M. B., Carpenter, W., Hiza, E., Reisman, W., Roberson, J. Tags: Trauma The Orthopaedic Forum Source Type: research
The Readability of AAOS Patient Education Materials: Evaluating the Progress Since 2008
Conclusions:
Regardless of the algorithm used, the mean readability levels of AAOS articles are higher than generally recommended. Although the mean Flesch-Kincaid Grade Level was lower in the present study than it was in 2008, a need remains to improve the readability of AAOS patient education articles.
Clinical Relevance:
Ensuring that online patient education materials are written at an appropriate reading grade level would be expected to improve physician-patient communication. (Source: JBJS)
Source: JBJS - September 6, 2016 Category: Orthopaedics Authors: Roberts, H., Zhang, D., Dyer, G. S. M. Tags: The Orthopaedic Forum Source Type: research
Whats New in Limb Lengthening and Deformity Correction
(Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Hamdy, R. C., Bernstein, M. A., Fragomen, A. T., Rozbruch, S. R. Tags: Pediatrics, Trauma Specialty Update Source Type: research
Preoperative Femoral Nerve Block Did Not Reduce Oral Opioid Consumption at 24 Hours and Increased Risk of Noninjurious Falls After Hip Arthroscopy
(Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Ranawat, A. Tags: Hip Evidence-Based Orthopaedics Source Type: research
Arthroplasty with Cement Resulted in Better Functioning Than Arthroplasty without Cement in Older Patients with Displaced Femoral Neck Fracture
(Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Paiement, G. Tags: Trauma Evidence-Based Orthopaedics Source Type: research
Hook-Plate Fixation in Patients with Acute Acromioclavicular Joint Dislocation Improved Radiographic But Not Clinical Outcomes Compared with Nonoperative Treatment
(Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Cox, C. L. Tags: Trauma Evidence-Based Orthopaedics Source Type: research
Catastrophic Femoral Head-Stem Trunnion Dissociation Secondary to Corrosion
Conclusions:
Although dissociation of the femoral head from the femoral trunnion following total hip arthroplasty is exceedingly rare, the prevalence may increase with longer follow-up. The dissociation is likely related to multiple factors, including a BMI of ≥30 kg/m2, male sex, and corrosion resulting from the use of a larger metal head with a neck length of greater than the default and a stem with high offset. It is critical that surgeons be able to recognize this mode of implant failure and appropriately prepare to remove the femoral component during revision surgery.
Level of Evidence:
Therapeutic Level IV. See I...
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Matsen Ko, L., Chen, A. F., Deirmengian, G. K., Hozack, W. J., Sharkey, P. F. Tags: Hip Scientific Articles Source Type: research
Long-Term Survival of the Native Hip After a Minimally Displaced, Nonoperatively Treated Acetabular Fracture
Conclusions:
Nonoperative treatment of minimally displaced acetabular fractures yields good to excellent long-term results. For patients with a questionable indication for fracture surgery, oblique radiographs (Judet views) are a helpful tool in the decision-making process, as a fracture step-off of ≥2 mm is a strong predictor for a poor clinical and radiographic result at 10 years.
Level of Evidence:
Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Clarke-Jenssen, J., Wikeroy, A. K. B., Roise, O., Ovre, S. A., Madsen, J. E. Tags: Hip, Trauma Scientific Articles Source Type: research
Impact of Race/Ethnicity and Socioeconomic Status on Risk-Adjusted Hospital Readmission Rates Following Hip and Knee Arthroplasty
Conclusions:
Inclusion of race/ethnicity and socioeconomic status in the risk-adjustment algorithm led to a relative-performance change in readmission rates following THA and TKA at <3% of the hospitals. We believe that policymakers and payers should consider this result when deciding whether to include race/ethnicity and socioeconomic status in risk-adjusted THA and TKA readmission rates used for hospital accountability, payment, and public reporting.
Level of Evidence:
Prognostic Level III. See instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Martsolf, G. R., Barrett, M. L., Weiss, A. J., Kandrack, R., Washington, R., Steiner, C. A., Mehrotra, A., SooHoo, N. F., Coffey, R. Tags: Hip, Knee Scientific Articles Source Type: research
Reimbursement Related to a 90-Day Episode of Care for a One or Two-Level Anterior Cervical Discectomy and Fusion
Conclusions:
To our knowledge, this study is the first report on 90-day reimbursement per patient for one to two-level ACDF procedures in a Medicare cohort. Payments varied significantly among geographic locations. Our study provides a reimbursement benchmark for one to two-level ACDF procedures. Clarifying the payments relative to costs will help providers to understand whether a bundled payment for the ACDF procedure is economically viable. (Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Virk, S. S., Phillips, F. M., Khan, S. N. Tags: Spine Scientific Articles Source Type: research
Knee Arthrodesis After Failure of Knee Arthroplasty: A Nationwide Register-Based Study
Conclusions:
The cumulative incidence of arthrodesis within 15 years after primary knee arthroplasty was 0.26%. There was a significant decrease in the 5-year cumulative incidence during the study period, suggesting an overall improvement in prevention of this adverse outcome of knee arthroplasty.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Gottfriedsen, T. B., Schroder, H. M., Odgaard, A. Tags: Knee Scientific Articles Source Type: research
No Difference in Implant Micromotion Between Hybrid Fixation and Fully Cemented Revision Total Knee Arthroplasty: A Randomized Controlled Trial with Radiostereometric Analysis of Patients with Mild-to-Moderate Bone Loss
Conclusions:
At 24 months after revision TKAs, cemented and hybrid-fixation replacements were equally stable. Unexpectedly, both groups had implants with >1 mm or >1° of micromotion although there were no clinical or radiographic signs of loosening. Whether these findings indicate the possibility of loosening with longer follow-up remains to be investigated.
Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Heesterbeek, P. J. C., Wymenga, A. B., van Hellemondt, G. G. Tags: Knee Scientific Articles Source Type: research
Outcomes of Cutaneous Scar Revision During Surgical Implant Removal in Children with Cerebral Palsy
Conclusions:
Surgical incisions that initially healed with good scar quality generally healed well (from the parents’ perspective) following subsequent incision through the previous scar. Surgical incisions that initially healed with poor scar quality did not heal better following excision of the previous scar. In such situations, surgical excision of the existing scar should occur in conjunction with additional adjuvant therapies to improve cosmesis.
Level of Evidence:
Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Davids, J. R., Diaz, K., Leba, T.-B., Adams, S., Westberry, D. E., Bagley, A. M. Tags: Pediatrics Scientific Articles Source Type: research
A Meta-Analysis on the Use of Gabapentinoids for the Treatment of Acute Postoperative Pain Following Total Knee Arthroplasty
Conclusions:
On the basis of this meta-analysis, we found no evidence to support the routine use of gabapentinoids in the management of acute pain following total knee arthroplasty.
Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Hamilton, T. W., Strickland, L. H., Pandit, H. G. Tags: Knee Scientific Articles Source Type: research
A Randomized Multicenter Trial Comparing Autologous Chondrocyte Implantation with Microfracture: Long-Term Follow-up at 14 to 15 Years
Conclusions:
The survivors in both groups improved their clinical scores in the short, medium, and long-term evaluations, and no significant difference between the groups was found at the long-term follow-up. The risk of treatment failure and the frequency of radiographic osteoarthritis are problematic. Our findings raise serious concerns regarding the efficacy of these procedures in delaying osteoarthritis and preventing further surgery. Continued basic and clinical research is needed in this field.
Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Knutsen, G., Drogset, J. O., Engebretsen, L., Grontvedt, T., Ludvigsen, T. C., Loken, S., Solheim, E., Strand, T., Johansen, O. Tags: Sports Medicine Scientific Articles Source Type: research
