The 2016 Austrian-Swiss-German Fellowship
Abstract:
The Austrian-Swiss-German (ASG) Traveling Fellowship, which began in 1979, is an annual exchange of surgeons between the German-speaking countries of Austria, Switzerland, and Germany and the English-speaking countries of the United States, England, and Canada. In 2016, 4 fellows were chosen to participate in the fellowship, including Eric Edmonds from the University of California, San Diego; Simon Mears from the University of Arkansas for Medical Sciences; Mathew Sewell from the James Cook University in Middlesbrough, England; and Andrea Veljkovic from the University of British Columbia in Vancouver. (Source: JBJS)
Source: JBJS - January 31, 2017 Category: Orthopaedics Authors: Veljkovic, A. N., Sewell, M. D., Mears, S. C., Edmonds, E. W. Tags: The Orthopaedic Forum Source Type: research
Early Results of Acetabular Reconstruction After Wide Periacetabular Oncologic Resection
Conclusions:
Preliminary results of tantalum reconstruction following periacetabular resections provide reasonable improvement in early clinical outcomes and stable fixation in situations with massive bone loss and compromised bone quality. As expected due to the lack of a functioning abductor mechanism from the wide oncologic resection, early dislocations remain a concern. As such, we now consider the primary use of increasing constraint, but it must be balanced with the often compromised host bone.
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: Abdel, M. P., von Roth, P., Perry, K. I., Rose, P. S., Lewallen, D. G., Sim, F. H. Tags: Hip, Oncology Scientific Articles Source Type: research
The Core Competencies for General Orthopaedic Surgeons
Conclusions:
These competencies are the first step in defining the practice of general orthopaedic surgery including acute orthopaedic care. Further validation and discussion among educators, general orthopaedic surgeons, and subspecialists will ensure that these are relevant to clinical practice.
Clinical Relevance:
These competencies provide many stakeholders, including orthopaedic educators and orthopaedists, with what may be the minimum knowledge and competencies necessary to deliver acute and general orthopaedic care. This document is the first step in defining a practice-based standard for training programs and cert...
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Kellam, J. F., on behalf of the General Orthopaedic Competency Task Force Tags: The Orthopaedic Forum Source Type: research
Whats New in Adult Reconstructive Knee Surgery
(Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Lee, G.-C. Tags: Knee Specialty Update Source Type: research
The American Academy of Orthopaedic Surgeons Appropriate Use Criteria for the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures
(Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Members of the Writing and Voting Panels of the AUC for the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures, Quinn, R. H., Murray, J. N., Pezold, R., Sevarino, K. S. Tags: Hip, Knee Evidence-Based Orthopaedics Source Type: research
Nonoperatively Corrected Clubfoot at Age 2 Years: Radiographs Are Not Helpful in Predicting Future Relapse
Conclusions:
Most clubfeet that were clinically plantigrade at 2 years of age remained so, while one-fourth subsequently required some surgery for late recurrence, primarily limited procedures. The tibiocalcaneal angle and talocalcaneal angle from standing lateral radiographs made at 18 to 24 months of age were not helpful in predicting future relapse.
Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Richards, B. S., Faulks, S., Razi, O., Moualeu, A., Jo, C.-H. Tags: Pediatrics Scientific Articles Source Type: research
Characterizing the Propionibacterium Load in Revision Shoulder Arthroplasty: A Study of 137 Culture-Positive Cases
Conclusions:
This investigation suggests that Propionibacterium is unevenly distributed within culture-positive revised shoulders. As a result, the specimen number and source (explant, soft tissue, or fluid) have major influences on the culture results for a revised shoulder arthroplasty. We found no evidence that suggested useful threshold values for defining a true infection.
Level of Evidence:
Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Ahsan, Z. S., Somerson, J. S., Matsen, F. A. Tags: Infection, Shoulder Scientific Articles Source Type: research
Three-Dimensional Analysis of Acute Scaphoid Fracture Displacement: Proximal Extension Deformity of the Scaphoid
Conclusions:
In acute displaced scaphoid fractures, it is the proximal fragment that displaces and should be reduced.
Clinical Relevance:
The typical "humpback" deformity is actually a "proximal extension" deformity, the consequence of displacement of the proximal fragment of the scaphoid (with the lunate). Manipulating only the proximal fragment (with the lunate) may be technically easier and more effective than manipulating both fragments. (Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Schwarcz, Y., Schwarcz, Y., Peleg, E., Joskowicz, L., Wollstein, R., Luria, S. Tags: Basic Science, Hand & Wrist Scientific Articles Source Type: research
Quality of Life in Bilateral Vs. Unilateral End-Stage Ankle Arthritis and Outcomes of Bilateral Vs. Unilateral Total Ankle Replacement
Conclusions:
Preoperative SF-36 scores demonstrated that bilateral end-stage ankle arthritis is a more debilitating condition than unilateral arthritis. Patients who underwent staged bilateral TAR benefited as much as patients who underwent unilateral TAR, despite having a worse preoperative health status. Metal component revision rates and implant survival were similar between the 2 groups.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Desai, S. J., Glazebrook, M., Penner, M. J., Wing, K. J., Younger, A. S. E., Pinsker, E., Daniels, T. R. Tags: Foot & Ankle Scientific Articles Source Type: research
Comparison of Ultrasound and MRI for the Diagnosis of Glenohumeral Dysplasia in Brachial Plexus Birth Palsy
Conclusions:
Measurements on MRI and ultrasound were reliable, with measured bias. The poor agreement between measurements on MRI and ultrasound calls into question the validity of using ultrasonography as a stand-alone modality in the evaluation of glenohumeral dysplasia. MRI remains the gold standard for fully evaluating the glenohumeral joint. The clinical role of ultrasonography may be that of a screening tool or a way of evaluating joint reduction in real time.
Level of Evidence:
Diagnostic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Donohue, K. W., Little, K. J., Gaughan, J. P., Kozin, S. H., Norton, B. D., Zlotolow, D. A. Tags: Pediatrics Scientific Articles Source Type: research
Unicompartmental Knee Arthroplasty Provides Higher Activity and Durability Than Valgus-Producing Proximal Tibial Osteotomy at 5 to 7 Years
Conclusions:
In this comparative cohort study of young patients with isolated unicompartmental arthritis, those treated with UKA reached a higher level of activity early after surgery and it persisted at mid-term follow-up. The UKA group had earlier, but less frequent, revision to 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 17, 2017 Category: Orthopaedics Authors: Krych, A. J., Reardon, P., Sousa, P., Pareek, A., Stuart, M., Pagnano, M. Tags: Knee Scientific Articles Source Type: research
Plate Fixation Compared with Nonoperative Treatment for Displaced Midshaft Clavicular Fractures: A Multicenter Randomized Controlled Trial
Conclusions:
For patients with a diaphyseal fracture of the clavicle displaced at least 1 shaft width, plate fixation improves the chances that the bone will heal; however, the rate of patients who need a second operation is considerable. In addition, the procedure does not improve shoulder function or general symptoms, and it does not decrease limitations compared with nonoperative treatment in a sling.
Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Woltz, S., Stegeman, S. A., Krijnen, P., van Dijkman, B. A., van Thiel, T. P. H., Schep, N. W. L., de Rijcke, P. A. R., Frölke, J. P. M., Schipper, I. B., on behalf of the Sleutel Trial Study Group Tags: Shoulder, Trauma Scientific Articles Source Type: research
Direct Anterior Approach: Risk Factor for Early Femoral Failure of Cementless Total Hip Arthroplasty: A Multicenter Study
Conclusions:
Despite claims of earlier recovery and improved outcomes with the direct anterior approach for THA, our findings indicate that that approach may confer a greater risk of early femoral failure and, along with the posterior approach, confer a greater risk of early instability compared with the direct lateral approach.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Meneghini, R. M., Elston, A. S., Chen, A. F., Kheir, M. M., Fehring, T. K., Springer, B. D. Tags: Hip Scientific Articles Source Type: research
Low-Dose Aspirin Is Effective Chemoprophylaxis Against Clinically Important Venous Thromboembolism Following Total Joint Arthroplasty: A Preliminary Analysis
Conclusions:
Our study demonstrates that low-dose aspirin is not inferior to high-dose aspirin for venous thromboembolism prophylaxis following total joint arthroplasty. This is not unexpected, as the available literature demonstrates that low-dose aspirin is as effective as higher-dose aspirin in the prevention of acute coronary syndrome and cerebrovascular events.
Level of Evidence:
Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Parvizi, J., Huang, R., Restrepo, C., Chen, A. F., Austin, M. S., Hozack, W. J., Lonner, J. H. Tags: Hip, Knee Scientific Articles Source Type: research
What Makes a Competent Orthopaedist?: Commentary on an article by James F. Kellam, MD, on behalf of the General Orthopaedic Competency Task Force: "The Core Competencies for General Orthopaedic Surgeons"
(Source: JBJS)
Source: JBJS - January 17, 2017 Category: Orthopaedics Authors: Carpenter, J. Tags: Commentary and Perspective Source Type: research
