The Use of the h-Index in Academic Orthopaedic Surgery
Conclusions:
Scholarly impact, as defined by academic productivity and scientific relevance, can be classified by the h-index and supplemented by the m and e-indices. This study has revealed well-defined differences in h, m, and e-indices with regard to academic rank among orthopaedic surgeons. Although the h, m, and e-indices may be of value as adjunct assessment devices for scholarly merit, careful consideration of their limitations must be maintained. (Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Bastian, S., Ippolito, J. A., Lopez, S. A., Eloy, J. A., Beebe, K. S. Tags: The Orthopaedic Forum Source Type: research
Change in Talar Translation in the Coronal Plane After Mobile-Bearing Total Ankle Replacement and Its Association with Lower-Limb and Hindfoot Alignment
Conclusions:
Talar translation in the coronal plane after mobile-bearing TAR correlates with the preoperative talar translation. Talar translation arises from deformities of MAD, LDTA, and hindfoot alignment, and it may be accompanied by various complications, as observed on coronal radiography. Therefore, additional realignment procedures for coronal malalignment should be considered to prevent talar translation after mobile-bearing TAR.
Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Yi, Y., Cho, J.-H., Kim, J.-B., Kim, J.-Y., Park, S.-Y., Lee, W. C. Tags: Basic Science, Foot & Ankle Scientific Articles Source Type: research
Whats Important: Being Present
(Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Krueger, C. A. Tags: The Orthopaedic Forum Source Type: research
Complications of Shoulder Arthroplasty
The most common complications after reverse shoulder arthroplasty in order of decreasing frequency included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE).
The most common complications after anatomic total shoulder arthroplasty (TSA) in order of decreasing frequency were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE.
Glenoid component wear and loosening remain a...
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Bohsali, K. I., Bois, A. J., Wirth, M. A. Tags: Shoulder Current Concepts Review Source Type: research
Evaluation of First-Ray Mobility in Patients with Hallux Valgus Using Weight-Bearing CT and a 3-D Analysis System: A Comparison with Normal Feet
Conclusions:
The results of this study suggest that loading of the foot causes significant 3-D displacement not only at the TMT joint but also at the other joints of the first ray. There is increased mobility in the first ray in patients who have hallux valgus. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Kimura, T., Kubota, M., Taguchi, T., Suzuki, N., Hattori, A., Marumo, K. Tags: Basic Science, Foot & Ankle Scientific Articles Source Type: research
Long-Term Outcome After Pectoralis Major Transfer for Irreparable Anterosuperior Rotator Cuff Tears
Conclusions:
Pectoralis major tendon transfer for the treatment of irreparable anterosuperior rotator cuff tears results in a significant clinical improvement even 10 years after surgery, especially with respect to pain and internal rotation. Despite long-term radiographic progression of cuff arthropathy, patient satisfaction remains high over time, with a low rate of salvage with reverse shoulder arthroplasty.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Moroder, P., Schulz, E., Mitterer, M., Plachel, F., Resch, H., Lederer, S. Tags: Shoulder Scientific Articles Source Type: research
Intra-Articular Vancomycin Powder Eliminates Methicillin-Resistant S. aureus in a Rat Model of a Contaminated Intra-Articular Implant
Conclusions:
In a rat model of a contaminated intra-articular implant, use of intra-articular vancomycin powder in combination with systemic vancomycin completely eliminated MRSA bacterial contamination. Animals treated with systemic vancomycin alone had persistent MRSA contamination.
Clinical Relevance:
This animal study presents data suggesting that the use of intra-articular vancomycin powder for reducing the risk of periprosthetic joint infections should be investigated further in clinical studies. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Edelstein, A. I., Weiner, J. A., Cook, R. W., Chun, D. S., Monroe, E., Mitchell, S. M., Kannan, A., Hsu, W. K., Stulberg, S. D., Hsu, E. L. Tags: Basic Science Scientific Articles Source Type: research
Vancomycin and Ceftazidime in Bone Cement as a Potentially Effective Treatment for Knee Periprosthetic Joint Infection
Conclusions:
Bone cement loaded with vancomycin and ceftazidime provided broad-spectrum antibacterial capacity both in vitro and in vivo and was shown to be a potentially effective therapeutic measure in the treatment of knee periprosthetic joint infections.
Clinical Relevance:
This study confirmed the potential effectiveness of drug delivery from bone cement spacers impregnated with vancomycin and ceftazidime. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Hsu, Y.-H., Hu, C.-c., Hsieh, P.-H., Shih, H.-N., Ueng, S. W. N., Chang, Y. Tags: Basic Science, Infection, Knee Scientific Articles Source Type: research
Patient and Radiographic Factors Help to Predict Metal-on-Metal Hip Resurfacings with Evidence of a Pseudotumor
Conclusions:
A combination of patient and radiographic factors provided useful information for distinguishing between MoMHRs with and without evidence of a pseudotumor. Surgeons may wish to consider these specific patient and radiographic factors before proceeding with cross-sectional imaging. Radiographs are important when assessing patients with MoMHR implants and should be included in all follow-up protocols.
Level of Evidence:
Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Matharu, G. S., Blanshard, O., Dhaliwal, K., Judge, A., Murray, D. W., Pandit, H. G. Tags: Hip Scientific Articles Source Type: research
Outcome After Combined Pelvic and Femoral Osteotomies in Patients with Legg-Calve-Perthes Disease
Conclusions:
In the absence of a randomized study design, conclusions have to be drawn with caution. Combined pelvic and femoral osteotomies in these children with LCP disease did not result in better functional or radiographic outcomes compared with the historic results of Salter osteotomy or proximal femoral osteotomy alone.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Mosow, N., Vettorazzi, E., Breyer, S., Ridderbusch, K., Stücker, R., Rupprecht, M. Tags: Pediatrics Scientific Articles Source Type: research
Increased Mortality in Elderly Patients with Sarcopenia and Acetabular Fractures
Conclusions:
Sarcopenia is common in elderly patients with acetabular fractures and is associated with lower-energy mechanisms, anterior column fractures, and higher risk of 1-year mortality.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Deren, M. E., Babu, J., Cohen, E. M., Machan, J., Born, C. T., Hayda, R. Tags: Trauma Scientific Articles Source Type: research
Histological Evidence of Muscle Degeneration in Advanced Human Rotator Cuff Disease
Conclusions:
Dramatic degeneration and inflammation of the rotator cuff muscles are characteristics of the most chronic and severe rotator cuff disease states, suggesting that muscle loss is more complicated than, and distinct from, the simple atrophy found in less severe cases.
Clinical Relevance:
In order to address degenerative muscle loss, alternative therapeutic approaches directed at muscle regeneration must be considered if muscle function is to be restored in late-stage rotator cuff disease. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Gibbons, M. C., Singh, A., Anakwenze, O., Cheng, T., Pomerantz, M., Schenk, S., Engler, A. J., Ward, S. R. Tags: Basic Science, Shoulder Scientific Articles Source Type: research
Total Knee Arthroplasty After Anterior Cruciate Ligament Reconstruction: Not Just a Routine Primary Arthroplasty
Conclusions:
The results of this retrospective matched cohort study suggest that prior ACL reconstruction results in longer operative time and increased risk of early reoperation after total knee arthroplasty.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Watters, T. S., Zhen, Y., Martin, J. R., Levy, D. L., Jennings, J. M., Dennis, D. A. Tags: Knee Scientific Articles Source Type: research
Has the Time For Vancomycin Powder Arrived?: Commentary on an article by Adam I. Edelstein, MD, et al.: "Intra-Articular Vancomycin Powder Eliminates Methicillin-Resistant S. aureus in a Rat Model of a Contaminated Intra-Articular Implant"
(Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Higuera, C. A. Tags: Basic Science, Infection Commentary and Perspective Source Type: research
Forewarned Is Forearmed: Commentary on an article by Tyler Steven Watters, MD, et al.: "Total Knee Arthroplasty After Anterior Cruciate Ligament Reconstruction. Not Just a Routine Primary Arthroplasty"
(Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Devitt, B. M. Tags: Knee Commentary and Perspective Source Type: research
