Inpatient Mortality and Morbidity for Dialysis-Dependent Patients Undergoing Primary Total Hip or Knee Arthroplasty
Conclusions: Total hip and knee arthroplasty in dialysis-dependent patients presents high risk, with inpatient mortality rates ten to twenty times greater and overall complication rates two times greater than in non-dialysis-dependent patients. Arthroplasty should be approached with caution and preferably should be delayed until after renal transplantation. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 19, 2015 Category: Orthopaedics Authors: Ponnusamy, K. E., Jain, A., Thakkar, S. C., Sterling, R. S., Skolasky, R. L., Khanuja, H. S. Tags: Hip, Knee Scientific Articles Source Type: research

Risk Factors for Reoperation in Patients Treated Surgically for Intervertebral Disc Herniation: A Subanalysis of Eight-Year SPORT Data
Conclusions: In patients who underwent surgery for IDH, the overall reoperation rate was 15% at the eight-year follow-up. Patients of older age and patients presenting with asymmetric motor weakness were less likely to undergo a reoperation. Less improvement in patient-reported outcomes was noted in the reoperation group. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 19, 2015 Category: Orthopaedics Authors: Leven, D., Passias, P. G., Errico, T. J., Lafage, V., Bianco, K., Lee, A., Lurie, J. D., Tosteson, T. D., Zhao, W., Spratt, K. F., Morgan, T. S., Gerling, M. C. Tags: Spine Scientific Articles Source Type: research

Preoperative Delayed Gadolinium-Enhanced Magnetic Resonance Imaging of Cartilage (dGEMRIC) for Patients Undergoing Hip Arthroscopy: Indices Are Predictive of Magnitude of Improvement in Two-Year Patient-Reported Outcomes
Conclusions: Patients with a dGEMRIC index of ≥323 msec (less than one SD below the cohort mean) demonstrated significantly greater improvement in patient-reported outcome scores and the VAS for pain after hip arthroscopy. Level of Evidence: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 19, 2015 Category: Orthopaedics Authors: Chandrasekaran, S., Vemula, S. P., Lindner, D., Lodhia, P., Suarez-Ahedo, C., Domb, B. G. Tags: Hip, Sports Medicine Scientific Articles Source Type: research

The Antiquity of the Cam Deformity: A Comparison of Proximal Femoral Morphology Between Early and Modern Humans
Conclusions and Clinical Relevance: It appears that the cam deformity was nonexistent among ancient humans and is perhaps predominantly a product of modern-day stresses. Further clinical investigation into behavioral modifications in adolescence is warranted to potentially prevent the development of deformity and impingement. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 19, 2015 Category: Orthopaedics Authors: Moats, A. R., Badrinath, R., Spurlock, L. B., Cooperman, D. Tags: Hip, Sports Medicine Scientific Articles Source Type: research

Industry Financial Relationships in Orthopaedic Surgery: Analysis of the Sunshine Act Open Payments Database and Comparison with Other Surgical Subspecialties
Conclusions: One-half of U.S. orthopaedic surgeons have industry financial relationships reported in the Open Payments database. Orthopaedic surgeons are less likely than most surgical subspecialists to receive industry payments, and the majority of the overall value of orthopaedic financial relationships is driven by a small number of orthopaedic surgeons receiving royalties and licensing for reimbursable innovation within the field. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Cvetanovich, G. L., Chalmers, P. N., Bach, B. R. Tags: The Orthopaedic Forum Source Type: research

Database and Registry Research in Orthopaedic Surgery: Part I: Claims-Based Data
The use of large-scale national databases for observational research in orthopaedic surgery has grown substantially in the last decade, and the data sets can be grossly categorized as either administrative claims or clinical registries. Administrative claims data comprise the billing records associated with the delivery of health-care services. Orthopaedic researchers have used both government and private claims to describe temporal trends, geographic variation, disparities, complications, outcomes, and resource utilization associated with both musculoskeletal disease and treatment. Medicare claims comprise one of the mo...
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Pugely, A. J., Martin, C. T., Harwood, J., Ong, K. L., Bozic, K. J., Callaghan, J. J. Tags: Hip, Knee, Trauma Current Concepts Review Source Type: research

Mental Health Medication Use Correlates with Poor Outcome After Femoroacetabular Impingement Surgery in a Military Population
Conclusions: Psychiatric comorbidities are an important risk factor in active-duty military personnel undergoing surgery for femoroacetabular impingement. Mental health medication use is associated with poorer outcome scores and can significantly lower the possibility of returning to active-duty status. Level of Evidence: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Ernat, J. J., Song, D. J., Brugman, S. C., Shaha, S. H., Tokish, J. M., Lee, G. Y. Tags: Hip, Sports Medicine Scientific Articles Source Type: research

Biomechanical Basis of Shoulder Osseous Deformity and Contracture in a Rat Model of Brachial Plexus Birth Palsy
Conclusions: Impaired longitudinal muscle growth and shoulder deformity were most pronounced in the impaired growth and combined mechanism groups, which underwent neurectomy. Strength imbalance was associated with osseous deformity to a lesser extent. Clinical Relevance: Treatments to alleviate shoulder deformity should address mechanical effects of both strength imbalance and impaired longitudinal muscle growth, with an emphasis on developing new treatments to promote growth in muscles affected by BPBP. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Crouch, D. L., Hutchinson, I. D., Plate, J. F., Antoniono, J., Gong, H., Cao, G., Li, Z., Saul, K. R. Tags: Basic Science, Pediatrics Scientific Articles Source Type: research

Factors Affecting Length of Stay, Readmission, and Revision After Shoulder Arthroplasty: A Population-Based Study
Conclusions: A small number of easily identified characteristics (sex, age, race, insurance type, comorbidities, diagnosis, and provider case volumes) were significantly associated with longer lengths of stay, readmission, and revision surgery. Consideration of these factors and their effects may guide efforts to improve patient safety and to manage the costs associated with these adverse outcomes. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Matsen, F. A., Li, N., Gao, H., Yuan, S., Russ, S. M., Sampson, P. D. Tags: Shoulder Scientific Articles Source Type: research

Lateral Tibiocalcaneal Angle As a Determinant for Percutaneous Achilles Tenotomy for Idiopathic Clubfeet
Conclusions: The LTiC angle measured on simple radiographs is a more objective and prognostic indicator of the need for percutaneous Achilles tenotomy, as compared with the ADF angle measured on physical examination, in patients with idiopathic clubfoot. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Kang, S., Park, S.-S. Tags: Foot & Ankle, Pediatrics Scientific Articles Source Type: research

The Scarf Osteotomy with Minimally Invasive Lateral Release for Treatment of Hallux Valgus Deformity: Intermediate and Long-Term Results
Conclusions: The recurrence rate after ten years was 30%, and a higher final HVA resulted in higher pain levels. The limitations imposed by nonvalidated outcome measures precluded conclusions about the influence of HVA on function or quality of life. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Bock, P., Kluger, R., Kristen, K.-H., Mittlbock, M., Schuh, R., Trnka, H.-J. Tags: Foot & Ankle Scientific Articles Source Type: research

Rotator Cuff Lesions in Patients with Stiff Shoulders: A Prospective Analysis of 379 Shoulders
Conclusions: Shoulder stiffness with severe and global loss of passive range of motion is not associated with full-thickness rotator cuff tears, although some patients may have a partial-thickness tear. Shoulders with severe and global loss of range of motion at a first visit are likely to be cases of idiopathic adhesive capsulitis and may not require further imaging studies. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Ueda, Y., Sugaya, H., Takahashi, N., Matsuki, K., Kawai, N., Tokai, M., Onishi, K., Hoshika, S. Tags: Shoulder Scientific Articles Source Type: research

Chronic Suppression of Periprosthetic Joint Infections with Oral Antibiotics Increases Infection-Free Survivorship
Conclusions: Chronic suppression with oral antibiotics increased the infection-free prosthetic survival rate following surgical treatment for periprosthetic joint infection. Patients who underwent irrigation and debridement with polyethylene exchange and those who had a Staphylococcus aureus infection had the greatest benefit. Level of Evidence: Therapeutic Level III. See the Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Siqueira, M. B. P., Saleh, A., Klika, A. K., O'Rourke, C., Schmitt, S., Higuera, C. A., Barsoum, W. K. Tags: Hip, Infection, Knee Scientific Articles Source Type: research

Meniscal Transplantation in Symptomatic Patients Under Fifty Years of Age: Survivorship Analysis
Conclusions: The survivorship analysis showed that, at ten years, 63% had not required subsequent surgery and were asymptomatic with daily activities. However, this percentage decreased to 40% at fifteen years. Although the data indicated that the majority of cryopreserved meniscal transplants may fail in the long term, the resolution of symptoms and improvement in function for several years justifies the procedure in young patients who are symptomatic after meniscectomy. Patients should be advised that the procedure is not curative in the long term and additional surgery will most likely be required. Level of Evidence: T...
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Noyes, F. R., Barber-Westin, S. D. Tags: Knee, Sports Medicine Scientific Articles Source Type: research

Bunion Surgery Works--Except When It Doesn't: Commentary on an article by Peter Bock, MD, et al.: "The Scarf Osteotomy with Minimally Invasive Lateral Release for Treatment of Hallux Valgus Deformity. Intermediate and Long-Term Results"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - August 5, 2015 Category: Orthopaedics Authors: Guyton, G. P. Tags: Foot & Ankle Commentary and Perspective Source Type: research