A Cost-Effective Junior Resident Training and Assessment Simulator for Orthopaedic Surgical Skills via Fundamentals of Orthopaedic Surgery: AAOS Exhibit Selection
Conclusions: The FORS is an effective simulator of basic motor skills that translates across a wide variety of operations and has the potential to advance junior-level participants to senior resident skill level. Clinical Relevance: The FORS simulator may serve as a valuable tool for resident education. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - April 15, 2015 Category: Orthopaedics Authors: Lopez, G., Wright, R., Martin, D., Jung, J., Bracey, D., Gupta, R. Tags: Education & Training Scientific Articles Source Type: research

Three-Dimensional Imaging and Templating Improve Glenoid Implant Positioning
Conclusion: Three-dimensional assessment of glenoid anatomy and implant templating and the use of these images at the time of surgery improve the surgeon’s ability to place the glenoid implant in the desired location. Level of Evidence: Therapeutic 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 - April 15, 2015 Category: Orthopaedics Authors: Iannotti, J. P., Weiner, S., Rodriguez, E., Subhas, N., Patterson, T. E., Jun, B. J., Ricchetti, E. T. Tags: Shoulder Scientific Articles Source Type: research

Interobserver and Intraobserver Reliability of the Modified Waldenstrom Classification System for Staging of Legg-Calve-Perthes Disease
Conclusions: The modified Waldenström classification system for staging of Legg-Calvé-Perthes disease demonstrated substantial to almost perfect agreement between and within observers across multiple rounds of study. In doing so, the results of this study provide a foundation for future validation studies, in which the classification stage will be associated with clinical outcomes. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - April 15, 2015 Category: Orthopaedics Authors: Hyman, J. E., Trupia, E. P., Wright, M. L., Matsumoto, H., Jo, C.-H., Mulpuri, K., Joseph, B., Kim, H. K. W., the International Perthes Study Group Members Tags: Pediatrics Scientific Articles Source Type: research

Computer Navigation for Total Knee Arthroplasty Reduces Revision Rate for Patients Less Than Sixty-five Years of Age
Conclusions: Computer navigation reduced the overall rate of revision and the rate revision for loosening/lysis following total knee arthroplasty in patients less than sixty-five years of age. Level of Evidence: Therapeutic 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 - April 15, 2015 Category: Orthopaedics Authors: de Steiger, R. N., Liu, Y.-L., Graves, S. E. Tags: Knee Scientific Articles Source Type: research

Radiostereometric Analysis Study of Tantalum Compared with Titanium Acetabular Cups and Highly Cross-Linked Compared with Conventional Liners in Young Patients Undergoing Total Hip Replacement
Conclusions: In this young population who had undergone total hip replacement, radiostereometric analysis showed significantly less femoral head penetration in the highly cross-linked polyethylene liners compared with that in the conventional ultra-high molecular weight polyethylene liners. Penetration rates were one order of magnitude less in highly cross-linked polyethylene liners compared with ultra-high molecular weight polyethylene liners. There was no significant difference in proximal migration between the tantalum and titanium acetabular cups through the five-year follow-up (p > 0.19). Level of Evidence: Therap...
Source: The Journal of Bone and Joint Surgery - April 15, 2015 Category: Orthopaedics Authors: Ayers, D. C., Greene, M., Snyder, B., Aubin, M., Drew, J., Bragdon, C. Tags: Hip Scientific Articles Source Type: research

Single, Superiorly Placed Reconstruction Plate Compared with Flexible Intramedullary Nailing for Midshaft Clavicular Fractures: A Prospective, Randomized Controlled Trial
Conclusions: Reconstruction plates and elastic stable intramedullary nailing yielded similar functional results, time to union, level of postoperative pain, and patient satisfaction rates. Both methods were safe in terms of major complications. 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 - April 15, 2015 Category: Orthopaedics Authors: Andrade-Silva, F. B., Kojima, K. E., Joeris, A., Santos Silva, J., Mattar, R. Tags: Shoulder, Trauma Scientific Articles Source Type: research

Operative Treatment of Dislocated Midshaft Clavicular Fractures: Plate or Intramedullary Nail Fixation?: A Randomized Controlled Trial
Conclusions: The patients in the plate-fixation group recovered faster than the patients in the intramedullary nailing group, but the groups had similar results at six months postoperatively and the time of final follow-up. The rate of complications requiring revision surgery was low. Implant-related complications occurred frequently and could often be treated by implant removal. 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 - April 15, 2015 Category: Orthopaedics Authors: van der Meijden, O. A., Houwert, R. M., Hulsmans, M., Wijdicks, F.-J. G., Dijkgraaf, M. G. W., Meylaerts, S. A. G., Hammacher, E. R., Verhofstad, M. H. J., Verleisdonk, E. J. M. M. Tags: Shoulder, Trauma Scientific Articles Source Type: research

Computer-Assisted Preoperative Planning: The Future Is Now!: Commentary on an article by Joseph P. Iannotti, MD, PhD, et al.: "Three-Dimensional Imaging and Templating Improve Glenoid Implant Positioning"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - April 15, 2015 Category: Orthopaedics Authors: Edwards, T. B. Tags: Shoulder Commentary and Perspective Source Type: research

Take What You Read with a Grain of Salt: Commentary on an article by Richard N. de Steiger, MBBS, FRACS, FAOrthA, et al.: "Computer Navigation for Total Knee Arthroplasty Reduces Revision Rate for Patients Less Than Sixty-five Years of Age"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - April 15, 2015 Category: Orthopaedics Authors: Lee, G.-C. Tags: Knee Commentary and Perspective Source Type: research

Do New Materials Improve Acetabular Fixation and Reduce Wear?: Commentary on an article by David C. Ayers, MD, et al.: "Radiostereometric Analysis Study of Tantalum Compared with Titanium Acetabular Cups and Highly Cross-Linked Compared with Conventional Liners in Young Patients Undergoing Total Hip Replacement"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - April 15, 2015 Category: Orthopaedics Authors: Lombardi, A. V. Tags: Hip Commentary and Perspective Source Type: research

Clavicle Fractures: Pins, Plates, and Drilling Down: Commentary on an article by Fernando Brandao Andrade-Silva, MD, PhD, et al.: "Single, Superiorly Placed Reconstruction Plate Compared with Flexible Intramedullary Nailing for Midshaft Clavicular Fractures. A Prospective, Randomized Controlled Trial"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - April 15, 2015 Category: Orthopaedics Authors: Groh, G. I. Tags: Shoulder, Trauma Commentary and Perspective Source Type: research

A Cadaver Study Revisiting the Original Methodology of Lauge-Hansen and a Commentary on Modern Usage
Conclusions: Loading cadaver specimens with an SER mechanism utilizing a methodology similar to that in the original experiments by Lauge-Hansen does not reliably produce the sequence of osseous and soft-tissue injury predicted by Lauge-Hansen. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - April 1, 2015 Category: Orthopaedics Authors: Kwon, J. Y., Gitajn, I. L., Walton, P., Miller, T. J., Appleton, P., Rodriguez, E. K. Tags: Foot & Ankle, Trauma The Orthopaedic Forum Source Type: research

Unplanned Excision of Soft-Tissue Sarcomas: Current Concepts for Management and Prognosis
Biopsy, staging, preoperative imaging and planning, as well as surgical treatment of soft-tissue sarcomas, are best carried out in specialized sarcoma centers, with the support of a multidisciplinary tumor board. Tumor bed excision is recommended after most unplanned excisions, with a goal of obtaining complete tumor removal with an appropriately wide margin of resection. The surgical resection area tends to be more extensive during tumor bed excision than during primary resection because of the need to resect potential areas of contamination, resulting in the need for more reconstructive procedures (flaps and skin graft...
Source: The Journal of Bone and Joint Surgery - April 1, 2015 Category: Orthopaedics Authors: Pretell-Mazzini, J., Barton, M. D., Conway, S. A., Temple, H. T. Tags: Oncology Current Concepts Review Source Type: research

Intermediate-Term Follow-up After Ankle Distraction for Treatment of End-Stage Osteoarthritis
Conclusions: Ankle function following joint distraction declines over time. Patients should be well informed of the commitment that they must make during the treatment period as well as the long-term results after surgery. 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 - April 1, 2015 Category: Orthopaedics Authors: Nguyen, M. P., Pedersen, D. R., Gao, Y., Saltzman, C. L., Amendola, A. Tags: Foot & Ankle Scientific Articles Source Type: research

Preliminary Validation of the Review of Musculoskeletal System (ROMS) Questionnaire
Conclusions: The ROMS is compatible with routine clinical process and has good psychometric properties in patients with shoulder, hip, and knee disorders. It can be used as a primary outcome tool for large observational studies and can supplement more specific tools in controlled studies. Clinical Relevance: The ROMS was developed as a tool to measure and monitor the clinical status of the musculoskeletal system in a population of patients during and after treatment as well as over time. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - April 1, 2015 Category: Orthopaedics Authors: Bershadsky, B., Kane, R. L., Wuerz, T., Jones, M., Brighton, B., Stitzlein, R., Parker, R., Iannotti, J. P. Tags: Scientific Articles Source Type: research