Surgical Technique Trends in Primary ACL Reconstruction from 2007 to 2014
Conclusions:
Surgeons changed their femoral tunnel drilling technique over the study period, whereas the incidence rates of specific graft utilization remained stable. There has been a shift away from first-generation bioabsorbable fixation and increasing use of biocomposite fixation across all graft types. Early cumulative revision rates remained stable. (Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Tibor, L., Chan, P. H., Funahashi, T. T., Wyatt, R., Maletis, G. B., Inacio, M. C. S. Tags: Sports Medicine Scientific Articles Source Type: research
Avoidance of "Final" Surgical Fusion After Growing-Rod Treatment for Early-Onset Scoliosis
Conclusions:
Because of progressive ankylosis, avoiding final surgical fusion at skeletal maturity is a viable option for patients treated with growing rods for all diagnostic subgroups of early-onset scoliosis who have satisfactory final alignment and trunk height, a minimal gain in length at the last distraction, and no clinical or radiographic evidence of implant-related problems.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Jain, A., Sponseller, P. D., Flynn, J. M., Shah, S. A., Thompson, G. H., Emans, J. B., Pawelek, J. B., Akbarnia, B. A., on behalf of the Growing Spine Study Group Tags: Pediatrics, Spine Scientific Articles Source Type: research
Bone Morphogenetic Protein Use and Cancer Risk Among Patients Undergoing Lumbar Arthrodesis: A Case-Cohort Study Using the SEER-Medicare Database
Conclusions:
In a large population of elderly U.S. adults undergoing lumbar arthrodesis, BMP use was not associated with cancer risk or mortality.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Beachler, D. C., Yanik, E. L., Martin, B. I., Pfeiffer, R. M., Mirza, S. K., Deyo, R. A., Engels, E. A. Tags: Spine Scientific Articles Source Type: research
Introducing JBJS Open Access
(Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Swiontkowski, M., Miller, J. Tags: Editorial Source Type: research
Bone Morphogenetic Proteins in Lumbar Arthrodesis: What Is All the Debate About?: Commentary on an article by Daniel C. Beachler, PhD, MHS, et al.: "Bone Morphogenetic Protein Use and Cancer Risk Among Patients Undergoing Lumbar Arthrodesis: A Case-Cohort Study Using the SEER-Medicare Database"
(Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Singh, K., Massel, D. H., Mayo, B. C., Bohl, D. D., Long, W. W., Modi, K. D. Tags: Spine Commentary and Perspective Source Type: research
Trends in Bone-Block Augmentation Among Recently Trained Orthopaedic Surgeons Treating Anterior Shoulder Instability
Conclusions:
A trend exists toward increased utilization of bone-block stabilization for the treatment of shoulder instability among recently trained orthopaedic surgeons. Complication rates remained relatively high (20.8%) for these procedures, but did not increase as was seen with the isolated soft-tissue stabilizations. Residency and fellowship programs should continue to focus on methods to optimize training for these procedures.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Degen, R. M., Camp, C. L., Werner, B. C., Dines, D. M., Dines, J. S. Tags: Shoulder Topics in Training Source Type: research
Global Forum: An International Perspective on Outpatient Surgical Procedures for Adult Hip and Knee Reconstruction
Abstract:
Outpatient surgical procedures for adult hip and knee reconstruction are gaining interest on a worldwide basis and have been progressively increasing over the last few years. Preoperative screening needs to concentrate on both the patient’s comorbidities and home environment to provide a proper alignment of expectations of the surgeon, the patient, and the patient’s family. Preoperative multidisciplinary patient information covering all aspects of the upcoming treatment course is a mandatory step, focusing on pain management and early mobilization. Perioperative pain management includes both multimoda...
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Argenson, J.-N. A., Husted, H., Lombardi, A., Booth, R. E., Thienpont, E. Tags: Hip, Knee The Orthopaedic Forum Source Type: research
Whats New in Spine Surgery
(Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Choma, T. J., Brodke, D. S. Tags: Spine Specialty Update Source Type: research
Comparing Percutaneous Vertebroplasty and Conservative Therapy for Treating Osteoporotic Compression Fractures in the Thoracic and Lumbar Spine: A Systematic Review and Meta-Analysis
Conclusions:
Up to 1 year postoperatively, the effect of PVP exceeded the effect of conservative therapy with respect to pain relief in patients with osteoporotic compression fractures. The effect size was significant and close to the minimal clinically important difference. (Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Mattie, R., Laimi, K., Yu, S., Saltychev, M. Tags: Spine Evidence-Based Orthopaedics Source Type: research
Intraoperative Monitoring of Epiphyseal Perfusion in Slipped Capital Femoral Epiphysis
Conclusions:
Femoral head perfusion in patients with SCFE can be measured intraoperatively using this technique. Demonstrating femoral head perfusion before leaving the operating room was associated with the absence of osteonecrosis postoperatively.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Schrader, T., Jones, C. R., Kaufman, A. M., Herzog, M. M. Tags: Hip, Pediatrics Scientific Articles Source Type: research
Early Debris Formation with a Porous Tantalum Glenoid Component: Radiographic Analysis with 2-Year Minimum Follow-up
Conclusions:
The porous tantalum glenoid component studied had excellent short-term component fixation. However, the development of metallic debris, increasing in both overall incidence and degree of severity over time, raises concern for potential failure of this glenoid component. Longer follow-up is required.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Endrizzi, D. P., Mackenzie, J. A., Henry, P. D. G. Tags: Shoulder Scientific Articles Source Type: research
Comparison of Mini-Midvastus and Conventional Total Knee Arthroplasty with Clinical and Radiographic Evaluation: A Prospective Randomized Clinical Trial with 5-Year Follow-up
Conclusions:
In the rehabilitation period and at the short and mid-term follow-up, no relevant clinical and radiographic differences were found between the MMV and the conventional approach for total knee arthroplasty, making the advantage of MMV total knee arthroplasty cosmetic. We discourage the use of the MMV approach in large male patients because of the increased number of intraoperative complications and skin blisters postoperatively.
Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Verburg, H., Mathijssen, N. M. C., Niesten, D.-D., Verhaar, J. A. N., Pilot, P. Tags: Knee Scientific Articles Source Type: research
Medicare Reimbursement for Total Joint Arthroplasty: The Driving Forces
Conclusions:
Medicare reimbursements for total joint arthroplasty are highly variable. Greater reimbursement was associated with lower patient volume, lower patient satisfaction, a healthier patient population, and government ownership of a hospital. As value-based reimbursement provisions of the Affordable Care Act are implemented, there will be dramatic changes in total joint arthroplasty reimbursements. To meet these changes, providers should expect qualities such as high patient volume, willingness to care for sicker patient populations, patient satisfaction, safe outcomes, and procedural demand to correlate with their...
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Padegimas, E. M., Verma, K., Zmistowski, B., Rothman, R. H., Purtill, J. J., Howley, M. Tags: Hip, Knee Scientific Articles Source Type: research
Increased Lateral Tibial Plateau Slope Predisposes Male College Football Players to Anterior Cruciate Ligament Injury
Conclusions:
Based on this study, osseous morphology, specifically increased lateral tibial slope, is associated with ACL injury in male college football players. These data might help to improve prevention strategies to lower ACL injury.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Rahnemai-Azar, A. A., Yaseen, Z., van Eck, C. F., Irrgang, J. J., Fu, F. H., Musahl, V. Tags: Sports Medicine Scientific Articles Source Type: research
The Alpha-Defensin Immunoassay and Leukocyte Esterase Colorimetric Strip Test for the Diagnosis of Periprosthetic Infection: A Systematic Review and Meta-Analysis
Conclusions:
The diagnostic accuracy for PJI was high for both tests. Given the limited number of studies and the large cost difference between the tests, more independent research on these tests is warranted.
Level of Evidence:
Diagnostic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Wyatt, M. C., Beswick, A. D., Kunutsor, S. K., Wilson, M. J., Whitehouse, M. R., Blom, A. W. Tags: Hip, Infection, Knee Scientific Articles Source Type: research
