The Burden of Musculoskeletal Conditions
(Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Weinstein, S. L. Tags: Editorial Source Type: research
ACI Versus Microfracture: The Debate Continues: Commentary on an article by Gunnar Knutsen, MD, PhD, et al.: "A Randomized Multicenter Trial Comparing Autologous Chrondrocyte Implantation with Microfracture: Long-Term Follow-up at 14 to 15 Years"
(Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Fu, F. H., Soni, A. Tags: Sports Medicine Commentary and Perspective Source Type: research
The 2015 American-British-Canadian Traveling Fellows Report
(Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Patel, A. A., Brophy, R. H., Gandhi, R., Luu, H. H., Mulpuri, K., Shah, S. A., Kakar, S. Tags: The Orthopaedic Forum Source Type: research
Early Detection of Idiopathic Scoliosis in Adolescents
(Source: JBJS)
Source: JBJS - August 16, 2016 Category: Orthopaedics Authors: Hresko, M. T., Talwalkar, V., Schwend, R., on behalf of the AAOS, SRS, and POSNA Tags: Pediatrics, Spine The Orthopaedic Forum Source Type: research
Advances in 3D-Printed Pediatric Prostheses for Upper Extremity Differences
The prohibitive cost of cutting-edge prostheses prevents many children with a limb difference from obtaining them; however, new developments in 3-dimensional (3D) printing have the potential to increase the accessibility, customization, and procurement of such devices.
Children with upper limb differences are ideal candidates for currently available 3D-printed devices because they quickly damage and outgrow prostheses, and the low cost of 3D printing makes repairs and upgrades substantially more affordable.
Physicians and medical practitioners should become familiar with the possibilities of 3D-printed devices in order...
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Tanaka, K. S., Lightdale-Miric, N. Tags: Pediatrics Current Concepts Review Source Type: research
Positive Culture During Reimplantation Increases the Risk of Subsequent Failure in Two-Stage Exchange Arthroplasty
Conclusions:
Positive intraoperative culture at the time of reimplantation, regardless of the number of positive samples, was independently associated with >2 times the risk of subsequent treatment failure and earlier reinfection. Surgeons should be aware that a positive culture at the time of reimplantation independently increases the risk of subsequent failure.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Tan, T. L., Gomez, M. M., Manrique, J., Parvizi, J., Chen, A. F. Tags: Hip, Infection, Knee Scientific Articles Source Type: research
Morphology and Prevalence Study of Lumbar Scoliosis in 7,075 Multiracial Asian Adults
Conclusions:
The prevalence of lumbar scoliosis in Asian adults was found to be 9.1%. A nearly exponential increase in scoliosis prevalence from the 5th decade of life (4%) to the ≥9th decade (25%) and a majority of left-sided scoliotic curves, measuring between 10° and 19° with an L2 apex, was found. Older age, female sex, Chinese or Malay race, and vertebral fracture increased the risk of scoliosis developing.
Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Liu, G., Tan, J. H., Ee, G., Chan, Y. H., Low, S. L., Wong, H.-K. Tags: Spine Scientific Articles Source Type: research
The Rotterdam Foot Classification: A Classification System for Medial Polydactyly of the Foot
Conclusions:
The proposed classification system contains 4 categories of anatomic features of the foot. Classification of all categories shows moderate to good reliability. Use of the Rotterdam classification in evaluating medial polydactyly improves type-specific description, which may, in the future, enhance the evaluation of surgical treatment.
Clinical Relevance:
The Rotterdam foot classification system is a reliable and easy-to-use system that we believe will improve communication between clinicians and researchers and facilitate the evaluation of treatment results in medial polydactyly of the foot. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Burger, E. B., Hovius, S. E. R., Burger, B. J., van Nieuwenhoven, C. A. Tags: Foot & Ankle, Pediatrics Scientific Articles Source Type: research
Risk Factors for Deep Infection Following Plate Fixation of Proximal Tibial Fractures
Conclusions:
There is high morbidity associated with deep surgical site infection in plated proximal tibial fractures. Patients who are ≥50 years of age, obese patients, those with a history of alcohol abuse, or those with an OTA/AO-type-C fracture are at high risk for infection. Performing a fasciotomy also increases the risk of deep infection and should be implemented with meticulous technique when deemed necessary.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Parkkinen, M., Madanat, R., Lindahl, J., Mäkinen, T. J. Tags: Infection, Trauma Scientific Articles Source Type: research
Midterm Results of Porous Tantalum Femoral Cones in Revision Total Knee Arthroplasty
Conclusions:
In what we believe to be the largest series of such implants, femoral cones provided a durable and reliable option for metaphyseal fixation during revision TKA with severe femoral bone loss. Aseptic failure of the femoral cone was associated with use of a hinged TKA in a patient with a Type-3 bone defect.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Potter, G. D., Abdel, M. P., Lewallen, D. G., Hanssen, A. D. Tags: Knee Scientific Articles Source Type: research
The Long-Term Outcome After Varus Derotational Osteotomy for Legg-Calve-Perthes Disease: A Mean Follow-up of 42 Years
Conclusions:
A long-term follow-up of patients who were operatively treated for Legg-Calvé-Perthes disease revealed that a low proportion underwent total hip arthroplasty and a relatively high proportion maintained good clinical and radiographic outcomes.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Shohat, N., Copeliovitch, L., Smorgick, Y., Atzmon, R., Mirovsky, Y., Shabshin, N., Beer, Y., Agar, G. Tags: Hip, Pediatrics Scientific Articles Source Type: research
Arthroscopic Lateral Collateral Ligament Repair
Conclusions:
Arthroscopic repair of the LCL complex in patients with posterolateral rotatory instability after an unstable elbow dislocation, with or without an intra-articular fracture, is an alternative treatment option for restoring elbow stability and achieving satisfactory clinical and radiographic results.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Kim, J. W., Yi, Y., Kim, T. K., Kang, H. J., Kim, J. Y., Lee, J. M., Bae, K. H., Joo, M. S. Tags: Elbow, Trauma Scientific Articles Source Type: research
The Importance of Sufficient Graft Material in Achieving Foot or Ankle Fusion
Conclusions:
This study demonstrates an association between the amount of graft material and successful hindfoot and ankle arthrodesis. Graft material filling of ≥50% of the fusion space at 9 weeks, regardless of type or origin, was associated with significantly higher fusion rates at 24 weeks.
Level of Evidence:
Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: DiGiovanni, C. W., Lin, S. S., Daniels, T. R., Glazebrook, M., Evangelista, P., Donahue, R., Beasley, W., Baumhauer, J. F. Tags: Foot & Ankle Scientific Articles Source Type: research
The Effect of the Risser Stage on Bracing Outcome in Adolescent Idiopathic Scoliosis
Conclusions:
Patients at Risser stage 0 are at risk for surgery despite brace wear. In these patients, 12.9 hours of daily wear—the number of hours linked with a successful outcome in the BRAIST (Bracing in Adolescent Idiopathic Scoliosis Trial)—did not prevent surgery. Patients with open triradiate cartilage were at highest risk, especially those with curves of ≥30°. Risser stage-0 patients should be prescribed a minimum of 18 hours of brace wear. Bracing should be initiated for curves of <30° in patients at Risser stage 0, especially those with open triradiate cartilage.
Level of Evidence:
Prog...
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Karol, L. A., Virostek, D., Felton, K., Jo, C., Butler, L. Tags: Pediatrics, Spine Scientific Articles Source Type: research
Racial and Ethnic Disparities in Utilization Rate, Hospital Volume, and Perioperative Outcomes After Total Knee Arthroplasty
Conclusions:
Minorities had lower rates of total knee arthroplasty utilization but higher rates of adverse health outcomes associated with the procedure, even after adjusting for patient-related and health-care system-related characteristics. Utilization rates were based on overall population as the proportion of the population with osteoarthritis requiring arthroplasty is unknown. Future studies that consider specific patient-level information with psychosocial and behavioral factors are needed.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Zhang, W., Lyman, S., Boutin-Foster, C., Parks, M. L., Pan, T.-J., Lan, A., Ma, Y. Tags: Knee Scientific Articles Source Type: research
