Appropriateness of Twenty-four-Hour Antibiotic Prophylaxis After Spinal Surgery in Which a Drain Is Utilized: A Prospective Randomized Study
Conclusions: Continuing perioperative administration of antibiotics for the entire duration that a drain is in place after spinal surgery did not decrease the rate of surgical site infections. Level of Evidence: Therapeutic Level I. 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 - June 17, 2015 Category: Orthopaedics Authors: Takemoto, R. C., Lonner, B., Andres, T., Park, J., Ricart-Hoffiz, P., Bendo, J., Goldstein, J., Spivak, J., Errico, T. Tags: Spine Scientific Articles Source Type: research

Surface Modification with Chemically Modified Synovial Fluid for Flexor Tendon Reconstruction in a Canine Model in Vivo
Conclusions: Modification of the flexor tendon surface with cd-SF-G significantly improved digital function and reduced adhesion formation without affecting graft healing and stiffness. Clinical Relevance: This study used native synovial fluid as a basic lubricating reagent to treat a tendon graft in vivo, a novel avenue for improving clinical outcomes of flexor tendon reconstruction. This methodology may also apply to other surgical procedures where postoperative adhesions impair function. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Ji, X., Reisdorf, R. L., Thoreson, A. R., Berglund, L. R., Moran, S. L., Jay, G. D., An, K.-N., Amadio, P. C., Zhao, C. Tags: Basic Science, Hand & Wrist Scientific Articles Source Type: research

Web-Based Education Prior to Knee Arthroscopy Enhances Informed Consent and Patient Knowledge Recall: A Prospective, Randomized Controlled Study
Conclusions: Patients who completed the web-based tutorial had improved preoperative knowledge and preparedness as well as enhanced postoperative knowledge recall regarding their surgical procedure. The tutorial received high user satisfaction scores with low user burden scores and was an effective tool for enhancing the patients’ perioperative experience. Level of Evidence: Therapeutic Level I. 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 - June 17, 2015 Category: Orthopaedics Authors: Yin, B., Goldsmith, L., Gambardella, R. Tags: Sports Medicine Scientific Articles Source Type: research

The Incidence of Propionibacterium acnes in Open Shoulder Surgery: A Controlled Diagnostic Study
Conclusions: The clinical importance of positive P. acnes cultures from specimens obtained from open shoulder surgery remains uncertain. Male sex and preoperative corticosteroid injections were associated with a higher likelihood of bacterial growth on culture and are risk factors that merit further investigation. Previously reported incidences of positive P. acnes culture results from specimens from primary and revision shoulder arthroplasty may be overestimated because of a substantial level of culture contamination. Clinical Relevance: P. acnes is isolated via culture at a substantial rate from shoulders undergoing a d...
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Mook, W. R., Klement, M. R., Green, C. L., Hazen, K. C., Garrigues, G. E. Tags: Infection, Shoulder Scientific Articles Source Type: research

Red Wine Again?: Commentary on an article by Erin L. Hsu, PhD, et al.: "Dioxin Exposure Impairs BMP-2-Mediated Spinal Fusion in a Rat Arthrodesis Model"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Kruyt, M. C. Tags: Basic Science, Spine Commentary and Perspective Source Type: research

When Is a Positive Culture in Shoulder Surgery Not an Infection?: Commentary on an article by William R. Mook, MD, et al.: "The Incidence of Propionibacterium acnes in Open Shoulder Surgery. A Controlled Diagnostic Study"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Hasan, S. S., Ricchetti, E. T. Tags: Infection, Shoulder Commentary and Perspective Source Type: research

Effectiveness of a Microvascular Surgery Training Curriculum for Orthopaedic Surgery Residents
Conclusions: In an effort to improve the microvascular surgical skills of orthopaedic residents at our institution, a microvascular training curriculum was developed and was implemented. This curriculum was effective at improving resident microvascular surgical skills at the completion of an eight-week course. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 3, 2015 Category: Orthopaedics Authors: Ko, J.-W. K., Lorzano, A., Mirarchi, A. J. Tags: Education & Training, Hand & Wrist Topics in Training Source Type: research

Sustainability Assessment of a Short-Term International Medical Mission
Conclusions: Operation Walk Boston catalyzed sustainable changes in the Dominican hospital. Cultural norms and organizational structure are important determinants of program sustainability. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 3, 2015 Category: Orthopaedics Authors: Bido, J., Singer, S. J., Diez Portela, D., Ghazinouri, R., Driscoll, D. A., Alcantara Abreu, L., Aggouras, B. M., Thornhill, T. S., Katz, J. N. Tags: Hip, Knee The Orthopaedic Forum Source Type: research

Management of the Pulseless Pediatric Supracondylar Humeral Fracture
A pediatric supracondylar humeral fracture with a pulseless, poorly perfused hand requires emergency operative reduction. If the limb remains pulseless and poorly perfused after fracture fixation, vascular exploration and possible reconstruction is necessary. A pediatric supracondylar humeral fracture with a pulseless, well-perfused hand should be treated urgently with operative fixation of the fracture and subsequent reassessment of the vascular status. Controversy exists regarding the optimal management of pediatric supracondylar humeral fractures with a pulseless, well-perfused hand following anatomic reduction and fi...
Source: The Journal of Bone and Joint Surgery - June 3, 2015 Category: Orthopaedics Authors: Badkoobehi, H., Choi, P. D., Bae, D. S., Skaggs, D. L. Tags: Elbow, Pediatrics, Trauma Current Concepts Review Source Type: research

The Prevalence of Sacroiliac Joint Degeneration in Asymptomatic Adults
Conclusions: Radiographic evidence of sacroiliac joint degeneration is highly prevalent in the asymptomatic population and is associated with age. Caution must be exercised when attributing lower back or pelvic girdle pain to sacroiliac joint degeneration seen on imaging. 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 - June 3, 2015 Category: Orthopaedics Authors: Eno, J.-J. T., Boone, C. R., Bellino, M. J., Bishop, J. A. Tags: Spine Scientific Articles Source Type: research

Chondroblastoma of Bone in the Extremities: A Multicenter Retrospective Study
Conclusions: Chondroblastoma occurs most frequently in the proximal part of the tibia and the proximal part of the femur with significant male predilection. In this series, recurrence was most frequent in the proximal part of the humerus. Our results suggest that curettage and bone-grafting provide favorable local control and satisfactory functional outcome for patients with this disease. 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 - June 3, 2015 Category: Orthopaedics Authors: Xu, H., Nugent, D., Monforte, H. L., Binitie, O. T., Ding, Y., Letson, G. D., Cheong, D., Niu, X. Tags: Oncology Scientific Articles Source Type: research

Long-Term Outcomes of Liner Cementation into a Stable Retained Shell: A Concise Follow-up of a Previous Report
Abstract: Liner cementation into a preexisting stable socket may reduce the morbidity of revision hip arthroplasty and preserve acetabular bone. However, the long-term outcomes of this technique remain unknown. The purpose of this report was to analyze the long-term results of a previously reported cohort of patients. Cementation of thirty-two liners (seventeen polyethylene and fifteen metal liners) into preexisting sockets was performed during revision hip arthroplasty, and the patients were followed for a minimum of two years. A retrospective chart review was performed to investigate the complications and survivorship. T...
Source: The Journal of Bone and Joint Surgery - June 3, 2015 Category: Orthopaedics Authors: Tan, T. L., Le Duff, M. J., Ebramzadeh, E., Bhaurla, S. K., Amstutz, H. C. Tags: Hip Scientific Articles Source Type: research

Weight Changes After Total Hip or Knee Arthroplasty: Prevalence, Predictors, and Effects on Outcomes
Conclusions: Most patients maintained their body mass index after total hip arthroplasty or total knee arthroplasty. Female patients, patients with higher preoperative body mass index, and those who underwent total knee arthroplasty were more likely to lose weight after surgery. 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 - June 3, 2015 Category: Orthopaedics Authors: Ast, M. P., Abdel, M. P., Lee, Y.-y., Lyman, S., Ruel, A. V., Westrich, G. H. Tags: Hip, Knee Scientific Articles Source Type: research

The Impact of Obesity on the Outcome of Total Ankle Replacement
Conclusions: Although obese patients had increased disability and worse function preoperatively, total ankle replacement significantly and similarly improved pain and disability scores in both obese and non-obese patients, with no significant difference in the proportion of complications. We therefore maintain that total ankle replacement is a reliable treatment option for patients with end-stage ankle arthritis, including those who are obese. 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 - June 3, 2015 Category: Orthopaedics Authors: Bouchard, M., Amin, A., Pinsker, E., Khan, R., Deda, E., Daniels, T. R. Tags: Foot & Ankle Scientific Articles Source Type: research

Intermediate to Long-Term Outcomes of Total Ankle Replacement with the Scandinavian Total Ankle Replacement (STAR)
Conclusions: Intermediate patient-reported outcomes were good after ankle arthroplasty with the STAR prosthesis performed by experienced surgeons, and long-term outcomes demonstrated a 12% rate of metal component revision and 18% rate of polyethylene bearing failure. The revision rate was substantially higher among the first twenty ankles than among subsequent ankles, but the early ankles had nearly two years’ longer follow-up than subsequent ankles. Additional study to elucidate possible reasons for polyethylene bearing failure is warranted. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for ...
Source: The Journal of Bone and Joint Surgery - June 3, 2015 Category: Orthopaedics Authors: Daniels, T. R., Mayich, D. J., Penner, M. J. Tags: Foot & Ankle Scientific Articles Source Type: research