A Comparison of Matched and Unmatched Orthopaedic Surgery Residency Applicants from 2006 to 2014: Data from the National Resident Matching Program
Conclusions:
Successful applicants in the Match for orthopaedic surgery residency have higher USMLE Step-1 and 2 scores, number of research experiences and research products, and contiguous ranks. A higher proportion of successful applicants are AOA members and students at a top-40, NIH-funded medical school. (Source: JBJS)
Source: JBJS - January 3, 2017 Category: Orthopaedics Authors: Schrock, J. B., Kraeutler, M. J., Dayton, M. R., McCarty, E. C. Tags: The Orthopaedic Forum Source Type: research
Preoperative Opioid Use Is Associated with Early Revision After Total Knee Arthroplasty: A Study of Male Patients Treated in the Veterans Affairs System
Conclusions:
Long-term opioid use prior to TKA was associated with an increased risk of knee revision during the first year after TKA among predominantly male patients treated in the VA system.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - January 3, 2017 Category: Orthopaedics Authors: Ben-Ari, A., Chansky, H., Rozet, I. Tags: Knee Scientific Articles Source Type: research
In Appreciation
(Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Tags: In Appreciation Source Type: research
Whats New in Primary Bone Tumors
(Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Ogilvie, C. M., Cheng, E. Y. Tags: Oncology Specialty Update Source Type: research
Higher Total Knee Arthroplasty Revision Rates Among United States Blacks Than Whites: A Systematic Literature Review and Meta-Analysis
Conclusions:
Blacks in the United States are at higher risk of revision TKA than whites. Socioeconomic status contributed to revision risk and is an important confounder in analyses of race.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Bass, A. R., McHugh, K., Fields, K., Goto, R., Parks, M. L., Goodman, S. M. Tags: Knee Evidence-Based Orthopaedics Source Type: research
Characteristics and Clinical Relevance of the Osseous Spur in Patients with Congenital Scoliosis and Split Spinal Cord Malformation
Conclusions:
The neurological status in patients with congenital scoliosis and type-I SCM appears to be closely related to the location of the osseous spur relative to the congenital scoliosis. An osseous spur at the apex of the scoliosis may be related to a higher risk of developing a neurological deficit, especially in patients with kyphotic deformity. Asymmetric splitting of the spinal cord may contribute to neurological deficits.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Feng, F., Shen, J., Zhang, J., Li, S., Yu, K., Tan, H. Tags: Pediatrics, Spine Scientific Articles Source Type: research
Preoperative Prevalence of and Risk Factors for Venous Thromboembolism in Patients with a Hip Fracture: An Indirect Multidetector CT Venography Study
Conclusions:
Our findings show a high prevalence of preoperative VTE in patients with a hip fracture. Therefore, preoperative investigation for VTE should be routinely considered for patients in whom surgery is delayed for >24 hours. At this time, indirect MDCT venography seems to be effective and useful.
Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Shin, W. C., Woo, S. H., Lee, S.-J., Lee, J. S., Kim, C., Suh, K. T. Tags: Trauma Scientific Articles Source Type: research
Polymicrobial Periprosthetic Joint Infections: Outcome of Treatment and Identification of Risk Factors
Conclusions:
This study reveals that polymicrobial periprosthetic joint infection, occurring at a relatively low rate, is associated with poor outcomes when compared with monomicrobial and culture-negative periprosthetic joint infection. Patients with polymicrobial infections were more likely to require a salvage procedure or to have periprosthetic joint infection-related mortality. Polymicrobial periprosthetic joint infection was associated with soft-tissue defects such as a sinus tract and certain types of organisms, which should be considered when administering antibiotics to these patients.
Level of Evidence:
Prognost...
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Tan, T. L., Kheir, M. M., Tan, D. D., Parvizi, J. Tags: Hip, Infection, Knee Scientific Articles Source Type: research
Distinct Proximal Humeral Geometry in Chinese Population and Clinical Relevance
Conclusions:
The geometric parameters of the humeri in the Chinese population differ from those in other populations. These differences have clinical relevance with regard to implant design and arthroplasty technique and likely affect clinical outcomes. (Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Zhang, Q., Shi, L. L., Ravella, K. C., Koh, J. L., Wang, S., Liu, C., Li, G., Wang, J. Tags: Shoulder Scientific Articles Source Type: research
Transient Local Bone Remodeling Effects of rhBMP-2 in an Ovine Interbody Spine Fusion Model
Conclusions:
In the ovine end-plate-sparing interbody fusion model, rhBMP-2 dose-dependent osteoclastic resorption is a transient phenomenon that peaks at 4 weeks postoperatively.
Clinical Relevance:
Using the U.S. Food and Drug Administration (FDA)-approved rhBMP-2 concentration and matching the volume of rhBMP-2/ACS with the volume of desired bone formation within the interbody construct may limit the occurrence of transient bone resorption. (Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Bae, H. W., Patel, V. V., Sardar, Z. M., Badura, J. M., Pradhan, B. B., Seim, H. B., Turner, A. S., Toth, J. M. Tags: Basic Science Scientific Articles Source Type: research
Effect of Body Mass Index on Reoperation and Complications After Total Knee Arthroplasty
Conclusions:
The rates of reoperation, implant revision or removal, and many common complications after total knee arthroplasty were strongly associated with BMI.
Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Wagner, E. R., Kamath, A. F., Fruth, K., Harmsen, W. S., Berry, D. J. Tags: Knee Scientific Articles Source Type: research
Single-Stage Revision Is Effective for Failed Shoulder Arthroplasty with Positive Cultures for Propionibacterium
Conclusions:
Clinical outcomes after single-stage revision for Propionibacterium culture-positive shoulders were at least as good as the outcomes in revision procedures for control shoulders. Two-stage revision procedures may not be necessary in the management of these cases. Patients should be educated with regard to potential antibiotic side effects.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Hsu, J. E., Gorbaty, J. D., Whitney, I. J., Matsen, F. A. Tags: Shoulder Scientific Articles Source Type: research
Salto Talaris Total Ankle Arthroplasty: Clinical Results at a Mean of 5.2 Years in 78 Patients Treated by a Single Surgeon
Conclusions:
Modern fixed-bearing total ankle arthroplasty had excellent implant survival, improved plantar flexion and total range of motion, and had good-to-excellent functional outcome at a mean follow-up of 5.2 years.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Hofmann, K. J., Shabin, Z. M., Ferkel, E., Jockel, J., Slovenkai, M. P. Tags: Foot & Ankle Scientific Articles Source Type: research
ORCID Registration Required in 2017
(Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Swiontkowski, M. Tags: Editorial Source Type: research
Economic Considerations for Obese Patients Undergoing Total Knee Arthroplasty: Commentary on an article by Eric R. Wagner, MD, et al.: "Effect of Body Mass Index on Reoperation and Complications After Total Knee Arthroplasty"
(Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Delanois, R. E., Patel, N. K., Mistry, J. B., Mont, M. A. Tags: Knee Commentary and Perspective Source Type: research
