A Prospective Randomized Study to Compare Systemic Emboli Using the Computer-Assisted and Conventional Techniques of Total Knee Arthroplasty
Conclusions: The patients in the computer-assisted surgery group had lower embolic loads compared with the patients in the conventional total knee arthroplasty group. In patients with an uncompromised cardiopulmonary system, the embolic load difference between the techniques was not clinically relevant. 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 3, 2015 Category: Orthopaedics Authors: Malhotra, R., Singla, A., Lekha, C., Kumar, V., Karthikeyan, G., Malik, V., Mridha, A. R. Tags: Knee Scientific Articles Source Type: research

An Intra-Articular, Extended-Release Formulation of Triamcinolone Acetonide Prolongs and Amplifies Analgesic Effect in Patients with Osteoarthritis of the Knee: A Randomized Clinical Trial
Conclusions: Intra-articular injection of FX006, an extended-release formulation of triamcinolone acetonide, provided a clinically relevant improvement in pain relief in patients with knee osteoarthritis relative to immediate-release triamcinolone acetonide, the current standard of care. 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 3, 2015 Category: Orthopaedics Authors: Bodick, N., Lufkin, J., Willwerth, C., Kumar, A., Bolognese, J., Schoonmaker, C., Ballal, R., Hunter, D., Clayman, M. Tags: Knee Scientific Articles Source Type: research

Sacroiliac Joint Degeneration: Forgiving, But Not to Be Forgotten: Commentary on an article by Jonathan-James T. Eno, MD, et al.: "The Prevalence of Sacroiliac Joint Degeneration in Asymptomatic Adults"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 3, 2015 Category: Orthopaedics Authors: Lindsey, R. W. Tags: Spine Commentary and Perspective Source Type: research

The Surgeon's Dilemma: Cement or Revise?: Commentary on an article by Timothy L. Tan, MD, et al.: "Long-Term Outcomes of Liner Cementation into a Stable Retained Shell. A Concise Follow-up of a Previous Report"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 3, 2015 Category: Orthopaedics Authors: Bargar, W. L. Tags: Hip Commentary and Perspective Source Type: research

Graduates of Orthopaedic Residency Training Are Increasingly Subspecialized: A Review of the American Board of Orthopaedic Surgery Part II Database
Conclusions: From 2003 to 2013, the percentage of fellowship-trained applicants taking the American Board of Orthopaedic Surgery Part II examination gradually increased to 90%. In the same time period, fellowship-trained surgeons performed an increasing proportion of procedures within their area of subspecialty training. Orthopaedic graduates have become increasingly subspecialized over the past decade. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Horst, P. K., Choo, K., Bharucha, N., Vail, T. P. Tags: Education & Training Topics in Training Source Type: research

What's New in Foot and Ankle Surgery
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Marx, R. C., Mizel, M. S. Tags: Foot & Ankle, Trauma Specialty Update Source Type: research

Reverse Shoulder Arthroplasty Provided Better Functional Outcomes than Hemiarthroplasty for Acute Proximal Humeral Fractures
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Gulotta, L. V. Tags: Shoulder Evidence-Based Orthopaedics Source Type: research

Incision in the Quadriceps of >4 cm Delayed Recovery of Strength After Total Knee Replacement
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Cross, M. B. Tags: Knee Evidence-Based Orthopaedics Source Type: research

Volar Locking-Plate and Kirschner-Wire Fixation Did Not Differ in Terms of Functional Outcomes After Dorsally Displaced Distal Radial Fracture
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Boyer, M. Tags: Hand & Wrist, Trauma Evidence-Based Orthopaedics Source Type: research

Transtrapezial Approach for Fixation of Acute Scaphoid Fractures: Rationale, Surgical Techniques, and Results: AAOS Exhibit Selection
Abstract: The ideal position for a screw used for scaphoid fixation is central. The purpose of this study was to compare the current volar percutaneous approaches used for scaphoid fracture fixation, explore different options to improve central screw placement, and describe our experience with the transtrapezial approach. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Verstreken, F., Meermans, G. Tags: Hand & Wrist Scientific Articles Source Type: research

Detection of a Traumatic Arthrotomy in the Pediatric Knee Using the Saline Solution Load Test
Conclusions: On the basis of our findings, a saline solution load volume of 47 mL is required to detect 90% of superolateral traumatic arthrotomies of 5 mm in the pediatric knee with use of the SLT. Level of Evidence: Diagnostic 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 - May 20, 2015 Category: Orthopaedics Authors: Haller, J. M., Beckmann, J. T., Kapron, A. L., Aoki, S. K. Tags: Knee, Pediatrics, Trauma Scientific Articles Source Type: research

Trends in the Epidemiology of Osteomyelitis: A Population-Based Study, 1969 to 2009
Conclusions: The reasons for the increase in osteomyelitis between 1969 and 2009 are unclear but could comprise a variety of factors, including changes in diagnosing patterns or increases in the prevalence of risk factors (e.g., diabetes) in this population. 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 - May 20, 2015 Category: Orthopaedics Authors: Kremers, H. M., Nwojo, M. E., Ransom, J. E., Wood-Wentz, C. M., Melton, L. J., Huddleston, P. M. Tags: Infection, Pediatrics, Trauma Scientific Articles Source Type: research

Health Economic Implications of Perioperative Delirium in Older Patients After Surgery for a Fragility Hip Fracture
Conclusions: Nearly 50% of elderly patients who underwent surgery for a fragility hip fracture developed perioperative delirium, which was associated with a significant incremental in-hospital length of stay and significant incremental episode-of-care costs. These findings highlight the importance of implementing cost-effective interventions to reduce the prevalence of perioperative delirium in elderly patients with a low-energy hip fracture. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Zywiel, M. G., Hurley, R. T., Perruccio, A. V., Hancock-Howard, R. L., Coyte, P. C., Rampersaud, Y. R. Tags: Hip, Trauma Scientific Articles Source Type: research

Association Between Patient-Reported Measures of Psychological Distress and Patient Satisfaction Scores After Spine Surgery
Conclusions: These results indicate a significant association between patient satisfaction and psychological distress as measured with the DRAM questionnaire. "Distressed" patients gave significantly lower scores for overall satisfaction and satisfaction with their provider compared with patients categorized as "normal." These results suggest that psychological factors may influence patients’ perception of the medical care provided to them. 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 - May 20, 2015 Category: Orthopaedics Authors: Abtahi, A. M., Brodke, D. S., Lawrence, B. D., Zhang, C., Spiker, W. R. Tags: Spine Scientific Articles Source Type: research

Minimal Clinically Important Difference and the Effect of Clinical Variables on the Ankle Osteoarthritis Scale in Surgically Treated End-Stage Ankle Arthritis
Conclusions: Patients undergoing arthroplasty or arthrodesis for end-stage ankle arthritis experienced a mean improvement in AOS score that was greater than the estimated MCID (31.2 versus 28.0 points). 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 - May 20, 2015 Category: Orthopaedics Authors: Coe, M. P., Sutherland, J. M., Penner, M. J., Younger, A., Wing, K. J. Tags: Foot & Ankle Scientific Articles Source Type: research