Propionibacterium: We Found It, Now We Have to Deal with It: Commentary on an article by Jason E. Hsu, MD, et al.: "Single-Stage Revision Is Effective for Failed Shoulder Arthroplasty with Positive Cultures for Propionibacterium"
(Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Moroder, P., Trampuz, A., Scheibel, M. Tags: Shoulder Commentary and Perspective Source Type: research
The Ethics of Patient Cost-Sharing for Total Joint Arthroplasty Implants
(Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Mercuri, J. J., Bosco, J. A., Iorio, R., Schwarzkopf, R. Tags: Ethics, Hip, Knee Ethics in Practice Source Type: research
Global Forum: Spine Research and Training in Underserved, Low and Middle-Income, Culturally Unique Communities: The World Spine Care Charity Research Programs Challenges and Facilitators
The World Spine Care (WSC), established by volunteers from 5 continents, is dedicated to providing sustainable, evidence-based spine care to individuals and communities in low and middle-income countries consistent with available health-care resources and integrated within the local culture. The research committee approves and oversees the WSC’s collaborative research and training projects worldwide and serves to create a sustainable research community for underserved populations focused on preventing disability from spinal disorders. The purpose of this article is to describe 4 projects overseen by the WSC research ...
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Brady, O., Nordin, M., Hondras, M., Outerbridge, G., Kopansky-Giles, D., Cote, P., da Silva, S., Ford, T., Eberspaecher, S., Acaroglu, E., Mmopelwa, T., Hurwitz, E. L., Haldeman, S. Tags: Spine The Orthopaedic Forum Source Type: research
Own the Bone, a System-Based Intervention, Improves Osteoporosis Care After Fragility Fractures
Conclusions:
The Own the Bone intervention has succeeded in improving the behaviors of medical professionals in the areas of osteoporosis treatment and counseling, BMD testing, initiation of pharmacotherapy, and coordination of care for patients who have experienced a fragility fracture. (Source: JBJS)
Source: JBJS - December 20, 2016 Category: Orthopaedics Authors: Bunta, A. D., Edwards, B. J., Macaulay, W. B., Jeray, K. J., Tosi, L. L., Jones, C. B., Sietsema, D. L., Kaufman, J. D., Murphy, S. A., Song, J., Goulet, J. A., Friedlaender, G. E., Swiontkowski, M. F., Dirschl, D. R. Tags: Trauma The Orthopaedic Forum Source Type: research
Whats Important: Being a "Good Doctor"
(Source: JBJS)
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Thompson, R. Tags: The Orthopaedic Forum Source Type: research
Whats New in Orthopaedic Basic Science
(Source: JBJS)
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Allen, M. J. Tags: Basic Science Specialty Update Source Type: research
Neuromuscular Electrical Stimulation Therapy to Restore Quadriceps Muscle Function in Patients After Orthopaedic Surgery: A Novel Structured Approach
Despite evidence supporting the use of neuromuscular electrical stimulation (NMES) as an adjunct exercise modality to improve voluntary activation, muscle strength, and functional recovery after knee surgery, NMES therapy remains a clinically underutilized modality.
We propose a criteria-based treatment algorithm aimed at optimizing and simplifying the clinical application of NMES therapy following knee surgery.
The suggested algorithm includes a short preoperative phase for patient education (1 visit) and familiarization with NMES, followed by 2 home-based treatment phases (each lasting 3 weeks): (1) a high-intensity,...
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Spector, P., Laufer, Y., Elboim Gabyzon, M., Kittelson, A., Stevens Lapsley, J., Maffiuletti, N. A. Tags: Knee, Rehabilitation, Sports Medicine Current Concepts Review Source Type: research
Clinical Outcomes of Nonunions of Hindfoot and Ankle Fusions
Conclusions:
This prospective longitudinal study demonstrated poorer functional outcomes in patients with a nonunion after foot and ankle fusion, regardless of whether the diagnosis of nonunion was based on CT only or on combined clinical, radiographic, and CT assessment.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Krause, F., Younger, A. S. E., Baumhauer, J. F., Daniels, T. R., Glazebrook, M., Evangelista, P. T., Pinzur, M. S., Thevendran, G., Donahue, R. M. J., DiGiovanni, C. W. Tags: Foot & Ankle Scientific Articles Source Type: research
Influence of Immediate and Delayed Lower-Limb Amputation Compared with Lower-Limb Salvage on Functional and Mental Health Outcomes Post-Rehabilitation in the U.K. Military
Conclusions:
After completing a U.K. military interdisciplinary rehabilitation program, the unilateral amputation group demonstrated a significant functional advantage over the limb-salvage and bilateral amputation groups. We found that patients electing for delayed amputation below the knee after attempted limb salvage achieved superior functional gains in mobility compared with patients who underwent limb salvage below the knee and experienced no functional disadvantage compared with patients who underwent immediate amputation. The mental health outcomes were comparable with general population norms, optimizing the prosp...
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Ladlow, P., Phillip, R., Coppack, R., Etherington, J., Bilzon, J., McGuigan, M. P., Bennett, A. N. Tags: Trauma Scientific Articles Source Type: research
Humeral Retroversion in Children with Shoulder Internal Rotation Contractures Secondary to Upper-Trunk Neonatal Brachial Plexus Palsy
Conclusions:
Humeral retroversion is likely to be less on the affected side in children with internal rotation contractures from upper trunk neonatal brachial plexus palsy and merits consideration in surgical planning.
Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Pearl, M. L., Batech, M., van de Bunt, F. Tags: Pediatrics Scientific Articles Source Type: research
Factors Associated with Increased Healing Time in Complete Femoral Fractures After Long-Term Bisphosphonate Therapy
Conclusions:
Intramedullary nailing without cortical breakage around the fracture site and decreasing the anterior and lateral fracture gaps (avoidance of distraction) as much as possible are recommended to reduce healing time in complete femoral fractures associated with long-term use of bisphosphonates.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Lim, H.-S., Kim, C.-K., Park, Y.-S., Moon, Y.-W., Lim, S.-J., Kim, S.-M. Tags: Hip, Trauma Scientific Articles Source Type: research
Cost-Minimization Analysis of Open and Endoscopic Carpal Tunnel Release
Conclusions:
Our data showed that the total average fees per patient for endoscopic release were significantly higher than those for open release, although there currently is no strong evidence supporting better clinical outcomes of either technique.
Clinical Relevance:
Value-based health-care models that favor delivering high-quality care and improving patient health, while also minimizing costs, may favor open carpal tunnel release. (Source: JBJS)
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Zhang, S., Vora, M., Harris, A. H. S., Baker, L., Curtin, C., Kamal, R. N. Tags: Hand & Wrist Scientific Articles Source Type: research
Transfemoral Amputation After Failure of Knee Arthroplasty: A Nationwide Register-Based Study
Conclusions:
The cumulative incidence of amputation within 15 years after primary knee arthroplasty was 0.32%, with a tendency toward a decreasing incidence in the last part of the study period.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Gottfriedsen, T. B., Schroder, H. M., Odgaard, A. Tags: Knee Scientific Articles Source Type: research
Long-Term Restoration of Anterior Shoulder Stability: A Retrospective Analysis of Arthroscopic Bankart Repair Versus Open Latarjet Procedure
Conclusions:
In this retrospective cohort study, the arthroscopic Bankart procedure was inferior to the open Latarjet procedure for repair of recurrent anterior shoulder dislocation. The difference between the 2 procedures with respect to the quality of outcomes significantly increased with follow-up time.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Zimmermann, S. M., Scheyerer, M. J., Farshad, M., Catanzaro, S., Rahm, S., Gerber, C. Tags: Shoulder, Sports Medicine Scientific Articles Source Type: research
Improvement in Total Joint Replacement Quality Metrics: Year One Versus Year Three of the Bundled Payments for Care Improvement Initiative
Conclusions:
Mid-term results from the implementation of Medicare BPCI Model 2 for primary total joint arthroplasty demonstrated decreased LOS, decreased discharges to inpatient facilities, decreased readmissions, and decreased cost of the episode of care in year 3 compared with year 1, resulting in increased value to all stakeholders involved in this initiative and suggesting that continued improvement over initial gains is possible. (Source: JBJS)
Source: JBJS - December 6, 2016 Category: Orthopaedics Authors: Dundon, J. M., Bosco, J., Slover, J., Yu, S., Sayeed, Y., Iorio, R. Tags: Hip, Knee Scientific Articles Source Type: research
