The Journal of Bone and Joint Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

The Cost-Effectiveness of Surgical Treatment of Medial Unicompartmental Knee Osteoarthritis in Younger Patients: A Computer Model-Based Evaluation
Conclusions: In fifty to sixty-year-old patients with medial unicompartmental knee osteoarthritis, high tibial osteotomy is an attractive option compared with unicompartmental knee arthroplasty and total knee arthroplasty. This finding supports greater utilization of high tibial osteotomy for these patients. The cost-effectiveness of high tibial osteotomy and of unicompartmental knee arthroplasty depend on rates of conversion to total knee arthroplasty and the clinical outcomes of the conversions. Level of Evidence: Economic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: ...
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Konopka, J. F., Gomoll, A. H., Thornhill, T. S., Katz, J. N., Losina, E. Tags: Knee Scientific Articles Source Type: research

Accuracy of High-Resolution Ultrasound in the Detection of Meniscal Tears and Determination of the Visible Area of Menisci
Conclusions: The findings of this study suggest that ultrasound examination may be suitable for screening for meniscal tears. The fact that almost 10% of the lateral menisci could not be evaluated because of poor images appears to be a weakness of ultrasound. Level of Evidence: Diagnostic Level II. 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: Akatsu, Y., Yamaguchi, S., Mukoyama, S., Morikawa, T., Yamaguchi, T., Tsuchiya, K., Iwasaki, J., Akagi, R., Muramatsu, Y., Katsuragi, J., Fukawa, T., Endo, J., Takahashi, K., Sasho, T. Tags: Sports Medicine Scientific Articles Source Type: research

Patient-Controlled Epidural Analgesia or Multimodal Pain Regimen with Periarticular Injection After Total Hip Arthroplasty: A Randomized, Double-Blind, Placebo-Controlled Study
Conclusions: PAI did not decrease the time to discharge and was associated with higher pain scores and greater opioid consumption but lower ORSDS scores compared with PCEA. The choice for analgesic regimen may depend on a particular patient’s threshold for pain and the potential side effects. 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 - May 20, 2015 Category: Orthopaedics Authors: Jules-Elysee, K. M., Goon, A. K., Westrich, G. H., Padgett, D. E., Mayman, D. J., Ranawat, A. S., Ranawat, C. S., Lin, Y., Kahn, R. L., Bhagat, D. D., Goytizolo, E. A., Ma, Y., Reid, S. C., Curren, J., YaDeau, J. T. Tags: Hip, Pain Management Scientific Articles Source Type: research

New Findings Highlight the Misdirected Utilization of Patient Satisfaction Surveys and the Importance of Patient Psychology in General Medical Care: Commentary on an article by A.M. Abtahi, MD, et al.: "Association Between Patient-Reported Measures of Psychological Distress and Patient Satisfaction Scores After Spine Surgery"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Barth, R. J. Tags: Spine Commentary and Perspective Source Type: research

I Am Not an Economist, But...: Commentary on an article by Joseph F. Konopka, MD, MSc, et al.: "The Cost-Effectiveness of Surgical Treatment of Medial Unicompartmental Knee Osteoarthritis in Younger Patients. A Computer Model-Based Evaluation"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Gracy, J. Tags: Knee Commentary and Perspective Source Type: research

Patient-Controlled Epidural Analgesia After Total Hip Arthroplasty: Ready for Prime Time?: Commentary on an article by Kethy M. Jules-Elysee, MD, et al.: "Patient-Controlled Epidural Analgesia or Multimodal Pain Regimen with Periarticular Injection After Total Hip Arthroplasty. A Randomized, Double-Blind, Placebo-Controlled Study"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 20, 2015 Category: Orthopaedics Authors: Meding, J. B. Tags: Hip, Pain Management Commentary and Perspective Source Type: research

Spinal Fusion for Scoliosis in Patients with Globally Involved Cerebral Palsy: An Ethical Assessment
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 6, 2015 Category: Orthopaedics Authors: Whitaker, A. T., Sharkey, M., Diab, M. Tags: Ethics, Pediatrics Ethics in Practice Source Type: research

Testing Basic Competency in Knee Arthroscopy Using a Virtual Reality Simulator: Exploring Validity and Reliability
Conclusions: By combining four procedures on a virtual reality arthroscopy simulator, it was possible to create a valid, reliable, and feasible test of basic arthroscopic competency and to establish a credible pass-or-fail standard. Clinical Relevance: The simulation-based test and pass-or-fail standard could aid in assessing and ensuring basic competency of future orthopaedic residents before proceeding to supervised procedures in patients. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 6, 2015 Category: Orthopaedics Authors: Jacobsen, M. E., Andersen, M. J., Hansen, C. O., Konge, L. Tags: Education & Training, Sports Medicine Topics in Training Source Type: research

Improving Value in Musculoskeletal Care Delivery: AOA Critical Issues
Improving value in musculoskeletal health care has emerged as an important objective in both the United States and Canada. In order to achieve this objective, providers need to have a clear definition of value and an infrastructure for measuring outcomes of interest to patients and costs over the episode of care. Although national patient registries have been established in the United States and Canada, they nevertheless lag behind other registries worldwide in terms of collecting patient-reported outcomes and capturing data from a wide cross-section of hospitals and physicians. With the help of professional medical societ...
Source: The Journal of Bone and Joint Surgery - May 6, 2015 Category: Orthopaedics Authors: Wei, D. H., Hawker, G. A., Jevsevar, D. S., Bozic, K. J. Tags: The Orthopaedic Forum Source Type: research

Acetabular Fractures in the Elderly: Evaluation and Management
Acetabular fracture patterns in the elderly, with increased involvement of the anterior column, quadrilateral plate comminution, medialization of the femoral head, and marginal impaction, differ from those noted among a younger cohort. Poor prognostic factors for open reduction and internal fixation (ORIF) are posterior wall comminution, marginal impaction of the acetabulum, a femoral head impaction fracture, a so-called gull sign, and hip dislocation. The rate of conversion to total hip arthroplasty following formal ORIF has been reported to be 22% at a mean of twenty-nine months. Total hip replacement after an acetabu...
Source: The Journal of Bone and Joint Surgery - May 6, 2015 Category: Orthopaedics Authors: Butterwick, D., Papp, S., Gofton, W., Liew, A., Beaule, P. E. Tags: Hip, Trauma Current Concepts Review Source Type: research

Reliability, Validity, and Responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for Elderly Patients with a Femoral Neck Fracture
Conclusions: The WOMAC showed good reliability, construct validity, and responsiveness in both age groups of elderly patients with a femoral neck fracture who had been physically and mentally fit before the fracture. The instrument is suitable for use in future clinical studies in these populations. Clinical Relevance: The results are based on two clinical trials. The questionnaires used concern pure, clinically relevant issues (ability to walk, climb stairs, etc.). Moreover, the results can be used for future research comparing clinical outcomes (or treatments) for populations with a femoral neck fracture. (Source: The J...
Source: The Journal of Bone and Joint Surgery - May 6, 2015 Category: Orthopaedics Authors: Burgers, P. T. P. W., Poolman, R. W., Van Bakel, T. M. J., Tuinebreijer, W. E., Zielinski, S. M., Bhandari, M., Patka, P., Van Lieshout, E. M. M., on behalf of the HEALTH and FAITH Trial Investigators Tags: Hip, Trauma Scientific Articles Source Type: research

Hemicortical Resection and Inlay Allograft Reconstruction for Primary Bone Tumors: A Retrospective Evaluation in the Netherlands and Review of the Literature
Conclusions: Survival of hemicortical allografts is excellent. Host bone fracture is the predominant complication; however, none of these fractures necessitated allograft removal in our series. The extent of resection is the most important risk factor for complications. Hemicortical resection is not recommended for high-grade lesions; however, it may be superior to segmental resection for treatment of carefully selected tumors, provided that it is possible to obtain adequate margins. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal...
Source: The Journal of Bone and Joint Surgery - May 6, 2015 Category: Orthopaedics Authors: Bus, M. P. A., Bramer, J. A. M., Schaap, G. R., Schreuder, H. W. B., Jutte, P. C., van der Geest, I. C. M., van de Sande, M. A. J., Dijkstra, P. D. S. Tags: Oncology Scientific Articles Source Type: research

Locking Plate Placement with Unicortical Screw Fixation Adjunctive to Intramedullary Rodding in Long Bones of Patients with Osteogenesis Imperfecta
Conclusions: Unicortical locking plate fixation effectively supplements intramedullary rod fixation in selected cases of osteogenesis imperfecta. 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 6, 2015 Category: Orthopaedics Authors: Cho, T.-J., Lee, K., Oh, C.-W., Park, M. S., Yoo, W. J., Choi, I. H. Tags: Pediatrics, Trauma Scientific Articles Source Type: research

Rotational Acetabular Osteotomy for Osteoarthritis with Acetabular Dysplasia: Conversion Rate to Total Hip Arthroplasty within Twenty Years and Osteoarthritis Progression After a Minimum of Twenty Years
Conclusions: The progression of osteoarthritis after rotational acetabular osteotomy was not detected for at least twenty years in most hips with either pre-osteoarthritis or initial osteoarthritis in this cohort. Rotational acetabular osteotomy may delay conversion to total hip arthroplasty in advanced osteoarthritis. 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 6, 2015 Category: Orthopaedics Authors: Kaneuji, A., Sugimori, T., Ichiseki, T., Fukui, K., Takahashi, E., Matsumoto, T. Tags: Hip Scientific Articles Source Type: research

Fluoroscopic Radiation Exposure: Are We Protecting Ourselves Adequately?
Conclusions: Surgeons’ hands receive the most radiation exposure during distal radial plate fixation under fluoroscopy. There was a small but insignificant difference in mean exposure between standard fluoroscopy and mini-fluoroscopy, but some standard units resulted in lower exposure than some mini-units. On the basis of these findings, we recommend routine protective equipment to mitigate exposure to surgeons’ hands and eyes, in addition to the thyroid, chest, and groin, during fluoroscopy procedures. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - May 6, 2015 Category: Orthopaedics Authors: Hoffler, C. E., Ilyas, A. M. Tags: Basic Science, Hand & Wrist Scientific Articles Source Type: research