Tranexamic Acid Administration in Primary Total Hip Arthroplasty: A Randomized Controlled Trial of Intravenous Combined with Topical Versus Single-Dose Intravenous Administration
Conclusions:
Intravenous combined with topical administration of TXA in patients undergoing a primary unilateral total hip arthroplasty significantly reduced postoperative bleeding and the transfusion rate. Studies with more patients and longer follow-up are needed to confirm whether this promising combined strategy is safe with regard to thromboembolic complications.
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: Yi, Z., Bin, S., Jing, Y., Zongke, Z., Pengde, K., Fuxing, P. Tags: Hip Scientific Articles Source Type: research
Outcomes of Hip Arthroscopy in Patients with Tönnis Grade-2 Osteoarthritis at a Mean 2-Year Follow-up: Evaluation Using a Matched-Pair Analysis with Tönnis Grade-0 and Grade-1 Cohorts
Conclusions:
Hips with Tönnis grade-2 osteoarthritis had a significantly higher rate of conversion to total hip arthroplasty at the 2-year follow-up compared with matched cohorts of Tönnis grade-0 and grade-1 hips. Thus, hip arthroscopy has a limited role as a joint preservation procedure in select patients with Tönnis grade-2 osteoarthritis.
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: Chandrasekaran, S., Darwish, N., Gui, C., Lodhia, P., Suarez-Ahedo, C., Domb, B. G. Tags: Hip, Sports Medicine Scientific Articles Source Type: research
Erratum
(Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Tags: Errata Source Type: research
A Compelling New Diagnostic Option for Identification of Orthopaedic Infections: Commentary on an article by M.C. Wyatt, BSc(Hons), MBChB, MRCS(Ed), FRACS(Tr&Orth), et al.: "The Alpha-Defensin Immunoassay and Leukocyte Esterase Colorimetric Strip Test for the Diagnosis of Periprosthetic Infection: A Systematic Review and Meta-Analysis"
(Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Dodwell, E. R. Tags: Commentary and Perspective Source Type: research
Controversy in Tranexamic Acid Administration Route Continues: Commentary on an article by Zeng Yi, MD, et al.: "Tranexamic Acid Administration in Primary Total Hip Arthroplasty: A Randomized Controlled Trial of Intravenous Combined with Topical Versus Single-Dose Intravenous Administration"
(Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Babis, G. C. Tags: Hip Commentary and Perspective Source Type: research
Postoperative Pain Management Among Dominican and American Health-Care Providers: A Qualitative Analysis
Conclusions:
Our findings suggest that cross-cultural comparisons provide insight into how opioid prescribing practices, approaches to the patient-provider relationship, and medication access inform distinct pain management strategies in American and Dominican surgical settings. Integrating lessons from cross-cultural pain management studies may yield more effective pain management strategies for surgical procedures performed in the United States and abroad. (Source: JBJS)
Source: JBJS - June 14, 2016 Category: Orthopaedics Authors: Devine, C. A., Yu, A., Kasdin, R. G., Bogart, L. M., Davis, A. M., Alcantara Abreu, L., Ghazinouri, R., Thornhill, T. S., Katz, J. N. Tags: Hip, Knee, Pain Management The Orthopaedic Forum Source Type: research
Eighty-six Percent Failure Rate of a Modular-Neck Femoral Stem Design at 3 to 5 Years: Lessons Learned
Conclusions:
Emphasizing the reporting of positive results may leave orthopaedic surgeons reticent to publicize negative results; however, the high failure rate of this implant design within 5 years prompted this report. We believe that patients and orthopaedic surgeons should be made aware of this implant’s clinical problems and patients should be followed closely. Expedient revision is necessary when failure is identified, to minimize potentially severe tissue damage and metal toxicity.
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: Bernstein, D. T., Meftah, M., Paranilam, J., Incavo, S. J. Tags: Hip The Orthopaedic Forum Source Type: research
Glenoid Dysplasia: Pathophysiology, Diagnosis, and Management
Subtle forms of glenoid dysplasia may be more common than previously thought and likely predispose some patients to symptomatic posterior shoulder instability. Severe glenoid dysplasia is a rare condition with characteristic radiographic findings involving the posteroinferior aspect of the glenoid that often remains asymptomatic.
Instability symptoms related to glenoid dysplasia may develop over time with increased activities or trauma. Physical therapy focusing on rotator cuff strengthening and proprioceptive control should be the initial management.
Magnetic resonance imaging and computed tomographic arthrograms are ...
Source: JBJS - May 31, 2016 Category: Orthopaedics Authors: Eichinger, J. K., Galvin, J. W., Grassbaugh, J. A., Parada, S. A., Li, X. Tags: Shoulder Current Concepts Review Source Type: research
Acetabular Remodeling and Role of Osteotomy After Closed Reduction of Developmental Dysplasia of the Hip
Conclusions:
Hips with DDH showing poor acetabular remodeling after closed reduction may benefit from osteotomy. The AI and CEA at the age of 3 years can serve as one of the guidelines for osteotomy. Continued surveillance for acetabular remodeling is required even after osteotomy.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - May 31, 2016 Category: Orthopaedics Authors: Shin, C. H., Yoo, W. J., Park, M. S., Kim, J. H., Choi, I. H., Cho, T.-J. Tags: Hip, Pediatrics Scientific Articles Source Type: research
Posterior Fixation of APC-2 Pelvic Ring Injuries Decreases Rates of Anterior Plate Failure and Malunion
Conclusions:
Our study indicated that use of an anterior plate and a supplemental posterior screw for fixation of APC-2 pelvic ring injuries significantly decreases the rate of anterior plate failure and malunion compared with use of an anterior plate alone. The potential for selection and detection bias introduced by our study design limited the strength of this conclusion.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - May 31, 2016 Category: Orthopaedics Authors: Avilucea, F. R., Whiting, P. S., Mir, H. Tags: Trauma Scientific Articles Source Type: research
Biomechanical Assessment of the Anterolateral Ligament of the Knee: A Secondary Restraint in Simulated Tests of the Pivot Shift and of Anterior Stability
Conclusions:
The anterolateral ligament is a secondary stabilizer compared with the ACL for the simulated Lachman, anterior drawer, and pivot shift examinations.
Clinical Relevance:
Since the anterolateral ligament engages only during pathologic ranges of tibial translation, there is a limited need for anatomical reconstruction of the anterolateral ligament in a well-functioning ACL-reconstructed knee. (Source: JBJS)
Source: JBJS - May 31, 2016 Category: Orthopaedics Authors: Thein, R., Boorman-Padgett, J., Stone, K., Wickiewicz, T. L., Imhauser, C. W., Pearle, A. D. Tags: Basic Science, Sports Medicine Scientific Articles Source Type: research
Corrective Surgery for Congenital Scoliosis Associated with Split Cord Malformation: It May Be Safe to Leave Diastematomyelia Untreated in Patients with Intact or Stable Neurological Status
Conclusions:
Patients with congenital scoliosis associated with SCM, regardless of type, can safely and effectively undergo spinal deformity correction and achieve spinal balance without neurological intervention. For such patients with intact or stable neurological status, prophylactic detethering prior to scoliosis surgery may not be necessary.
Level of Evidence:
Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - May 31, 2016 Category: Orthopaedics Authors: Shen, J., Zhang, J., Feng, F., Wang, Y., Qiu, G., Li, Z. Tags: Pediatrics, Spine Scientific Articles Source Type: research
A Validated Preclinical Animal Model for Primary Bone Tumor Research
Conclusions:
We report an in vivo model that contains human bone matrix and marrow components in one organ. BMP-7 made it possible to maintain viable mesenchymal and hematopoietic stem cells and created a bone microenvironment mimicking human physiology.
Clinical Relevance:
This novel platform enables preclinical research on primary bone tumors in order to test new treatment options. (Source: JBJS)
Source: JBJS - May 31, 2016 Category: Orthopaedics Authors: Wagner, F., Holzapfel, B. M., Thibaudeau, L., Straub, M., Ling, M.-T., Grifka, J., Loessner, D., Levesque, J.-P., Hutmacher, D. W. Tags: Basic Science, Oncology Scientific Articles Source Type: research
Anatomic Hip Center Decreases Aseptic Loosening Rates After Total Hip Arthroplasty with Cement in Patients with Crowe Type-II Dysplasia: A Concise Follow-up Report at a Mean of Thirty-six Years
Abstract:
We previously reported the two to twenty-two-year results of 145 total hip arthroplasties (THAs) with cement performed from 1969 to 1980 in 117 patients with Crowe type-II dysplasia. The purpose of the present study was to update the long-term effects of a nonanatomic hip center on component loosening and aseptic revision in this cohort. Forty-nine patients (sixty hips) were alive at a mean of thirty-six years. The overall cumulative incidence of aseptic revision at thirty-five years was 32% for acetabular cups and 21% for femoral stems. Acetabular loosening was less likely with a hip center placed within the tru...
Source: JBJS - May 31, 2016 Category: Orthopaedics Authors: Watts, C. D., Abdel, M. P., Hanssen, A. D., Pagnano, M. W. Tags: Hip Scientific Articles Source Type: research
