Persistence of Racial and Ethnic Differences in Utilization and Adverse Outcomes of Total Joint Replacement
(Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Katz, J. N. Tags: Hip, Knee Editorial Source Type: research

Please Teach Us More!: Commentary on an article by G. David Potter III, MD, et al.: "Midterm Results of Porous Tantalum Femoral Cones in Revision Total Knee Arthroplasty"
(Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Vince, K. G. Tags: Knee Commentary and Perspective Source Type: research

Adolescent Idiopathic Scoliosis: Immaturity Predicts Progression, but Is More Brace Wear Time Beneficial?: Commentary on an article by Lori A. Karol, MD, et al.: "The Effect of the Risser Stage on Bracing Outcome in Adolescent Idiopathic Scoliosis"
(Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Price, C. T. Tags: Pediatrics, Spine Commentary and Perspective Source Type: research

A 5-Year Update on the Uneven Distribution of Women in Orthopaedic Surgery Residency Training Programs in the United States
Conclusions: Female medical students continue to pursue orthopaedic surgery as a career at rates lagging behind all other surgical specialties. Not all residency programs train women at equal rates. The period of 2009-2010 through 2013-2014 showed a greater percentage of programs (68%) training ≥2 women than the period of 2004-2005 through 2008-2009 (61%). Obstacles to attracting women to orthopaedic surgery should continue to be identified and to be addressed. (Source: JBJS)
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Van Heest, A. E., Fishman, F., Agel, J. Tags: Topics in Training Source Type: research

Cartilage-Repair Innovation at a Standstill: Methodologic and Regulatory Pathways to Breaking Free
Abstract: Articular cartilage defects strongly predispose patients to developing early joint degeneration and osteoarthritis, but for more than 15 years, no new cartilage-repair technologies that we know of have been approved by the U.S. Food and Drug Administration. Many studies examining novel approaches to cartilage repair, including cell, tissue, or matrix-based techniques, have shown great promise, but completing randomized controlled trials (RCTs) to establish safety and efficacy has been challenging, providing a major barrier to bringing these innovations into clinical use. In this article, we review reasons that su...
Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Lyman, S., Nakamura, N., Cole, B. J., Erggelet, C., Gomoll, A. H., Farr, J. Tags: Basic Science The Orthopaedic Forum Source Type: research

Robert Bucholz, MD * 1947-2016
(Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Tags: Obituary Source Type: research

Whats New in Musculoskeletal Infection: Update on Biofilms
(Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Nana, A., Nelson, S. B., McLaren, A., Chen, A. F. Tags: Basic Science, Hip, Infection, Knee, Trauma Specialty Update Source Type: research

The American Academy of Orthopaedic Surgeons Appropriate Use Criteria for Management of Hip Fractures in the Elderly
(Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Members of the Writing and Voting Panels of the AUC on the Treatment of Hip Fractures in the Elderly and the AUC on Postoperative Rehabilitation of Low Energy Hip Fractures in the Elderly, Quinn, R. H., Murray, J. N., Pezold, R. Tags: Hip Evidence-Based Orthopaedics Source Type: research

Evaluation of Brace Treatment for Infant Hip Dislocation in a Prospective Cohort: Defining the Success Rate and Variables Associated with Failure
Conclusions: These data provide valuable information for patient families and their providers regarding the important variables that influence successful brace treatment for dislocated hips in infants. Level of Evidence: Prognostic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Upasani, V. V., Bomar, J. D., Matheney, T. H., Sankar, W. N., Mulpuri, K., Price, C. T., Moseley, C. F., Kelley, S. P., Narayanan, U., Clarke, N. M. P., Wedge, J. H., Castaneda, P., Kasser, J. R., Foster, B. K., Herrera-Soto, J. A., Cundy, P. J., Williams Tags: Pediatrics Scientific Articles Source Type: research

A Novel Radiographic Indicator of Developmental Cervical Stenosis
Conclusions: This analysis provided a novel index for identifying developmental cervical stenosis: the C5 lateral mass/canal diameter (LM/CD) ratio. We believe that this ratio is the best radiographic measurement available to screen for developmental cervical stenosis in the adult spine patient population. It provides an objective radiographic screening tool for physicians to detect developmental cervical stenosis and decide whether additional imaging or surgical referral is appropriate. Level of Evidence: Diagnostic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Horne, P. H., Lampe, L. P., Nguyen, J. T., Herzog, R. J., Albert, T. J. Tags: Spine Scientific Articles Source Type: research

The Anatomic Midpoint of the Attachment of the Medial Patellofemoral Complex
Conclusions: The midpoint of the medial patellofemoral complex was 2.3% of the articular length distal to the superior pole of the patella. Additionally, we describe an anatomic landmark at the junction of the medial border of the vastus intermedius tendon and the articular border of the patella that approximates the midpoint of this complex. Clinical Relevance: Our study shows that the anatomic midpoint of the attachment of the medial patellofemoral complex is proximal to the junction of the medial vastus intermedius tendon and the articular border of the patella, suggesting that graft placement may be more anatomic on t...
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Tanaka, M. J., Voss, A., Fulkerson, J. P. Tags: Basic Science, Sports Medicine Scientific Articles Source Type: research

Effect of Hip Reconstructive Surgery on Health-Related Quality of Life of Non-Ambulatory Children with Cerebral Palsy
Conclusions: These data support the effectiveness of reconstructive hip surgery for the treatment of spastic hip dysplasia to improve the HRQOL of non-ambulatory children with severe cerebral palsy. Level of Evidence: Prospective Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: DiFazio, R., Shore, B., Vessey, J. A., Miller, P. E., Snyder, B. D. Tags: Hip, Pediatrics Scientific Articles Source Type: research

In Vivo Efficacy of a "Smart" Antimicrobial Implant Coating
Conclusions: The PEG-PPS coating provides a promising approach to preventing periprosthetic infection. This polymer is novel in that it combines both passive and active antibiotic-release mechanisms. The tigecycline-based coating outperformed the vancomycin-based coating in this study. Clinical Relevance: PEG-PPS polymer provides a controlled, "smart" local delivery of antibiotics that could be used to prevent postoperative implant-related infections. (Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Stavrakis, A. I., Zhu, S., Hegde, V., Loftin, A. H., Ashbaugh, A. G., Niska, J. A., Miller, L. S., Segura, T., Bernthal, N. M. Tags: Basic Science, Infection Scientific Articles Source Type: research

Postural Stability in Older Adults with a Distal Radial Fracture
Conclusions: Older adults who sustain low-energy distal radial fractures demonstrate impaired postural stability compared with individuals of a similar age who have not sustained such fractures. Following a distal radial fracture, these patients may benefit from interventions to improve postural stability. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Louer, C. R., Boone, S. L., Guthrie, A. K., Motley, J. R., Calfee, R. P., Wall, L. B. Tags: Hand & Wrist, Trauma Scientific Articles Source Type: research

Direct Repair of Chronic Achilles Tendon Ruptures Using Scar Tissue Located Between the Tendon Stumps
Conclusions: Shortening of the tissue between the 2 tendon ends that included healing scar and direct repair of healing tendon without allograft or autograft can be effective for treatment-delayed or neglected Achilles tendon rupture. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Yasuda, T., Shima, H., Mori, K., Kizawa, M., Neo, M. Tags: Foot & Ankle Scientific Articles Source Type: research