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.

Is There Truly "No Significant Difference"?: Underpowered Randomized Controlled Trials in the Orthopaedic Literature
Conclusions: If an RCT lacks adequate statistical power to identify a clinically meaningful absence of a difference between groups, there is an unacceptable risk of inappropriately failing to reject the null hypothesis. The present study found that a sizable proportion of RCTs in orthopaedic surgery in which the null hypothesis is rejected are inadequately powered. Researchers should consider this when designing clinical trials, and journal editors and reviewers should be wary of underpowered RCTs when considering manuscripts for publication. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 16, 2015 Category: Orthopaedics Authors: Abdullah, L., Davis, D. E., Fabricant, P. D., Baldwin, K., Namdari, S. Tags: The Orthopaedic Forum Source Type: research

Whats New in Orthopaedic Oncology
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 16, 2015 Category: Orthopaedics Authors: Lozano Calderone, S. A., Raskin, K. A., Hornicek, F., Schwab, J. H. Tags: Oncology Specialty Update Source Type: research

Viscosupplementation for Osteoarthritis of the Knee: A Systematic Review of the Evidence
Conclusions: Meta-analysis of only the double-blinded, sham-controlled trials with at least sixty patients did not show clinically important differences of HA treatment over placebo. When all literature was added to the analysis, the overall effect was greater but was biased toward stronger treatment effects because of the influence of nonblinded or improperly blinded trials. 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 - December 16, 2015 Category: Orthopaedics Authors: Jevsevar, D., Donnelly, P., Brown, G. A., Cummins, D. S. Tags: Knee Evidence-Based Orthopaedics Source Type: research

A Clinical Prediction Rule for Functional Outcomes in Patients Undergoing Surgery for Degenerative Cervical Myelopathy: Analysis of an International Prospective Multicenter Data Set of 757 Subjects
Conclusions: Patients were more likely to achieve a score of ≥16 (indicating minimal impairment) if they were younger, had milder preoperative myelopathy, did not smoke, had fewer and less severe comorbidities, did not present with impaired gait, and had shorter symptom duration. Level of Evidence: Prognostic 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 - December 16, 2015 Category: Orthopaedics Authors: Tetreault, L., Kopjar, B., Cote, P., Arnold, P., Fehlings, M. G. Tags: Spine Scientific Articles Source Type: research

Effect of Naproxen Prophylaxis on Heterotopic Ossification Following Hip Arthroscopy: A Double-Blind Randomized Placebo-Controlled Trial
Conclusions: In this trial, prophylaxis with naproxen was effective in reducing the prevalence of HO without medication-related morbidity. 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 - December 16, 2015 Category: Orthopaedics Authors: Beckmann, J. T., Wylie, J. D., Potter, M. Q., Maak, T. G., Greene, T. H., Aoki, S. K. Tags: Hip, Sports Medicine Scientific Articles Source Type: research

Proximal Femoral Varus Derotation Osteotomy in Children with Cerebral Palsy: The Effect of Age, Gross Motor Function Classification System Level, and Surgeon Volume on Surgical Success
Conclusions: This study demonstrated a 37% failure rate after VDRO in children with cerebral palsy. Older age, lower GMFCS level, and increased surgeon volume were strong predictors of surgical success. 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 - December 16, 2015 Category: Orthopaedics Authors: Shore, B. J., Zurakowski, D., Dufreny, C., Powell, D., Matheney, T. H., Snyder, B. D. Tags: Hip, Pediatrics Scientific Articles Source Type: research

The Importance of Preserving the Radial Tuberosity During Distal Biceps Repair
Conclusions: The trough technique resulted in a significant decrease (p = 0.036) in the moment arm of a 60° supinated forearm and a significant reduction (p = 0.003) in radial tuberosity height. The loss of the supination moment arm was correlated with the decrease in tuberosity height, providing evidence that the radial protuberance acts as a mechanical cam. Clinical Relevance: The anterior protuberance of the radial tuberosity functions as a supination cam; therefore, consideration should be given to preserve its topographical anatomy during a distal biceps repair. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 16, 2015 Category: Orthopaedics Authors: Schmidt, C. C., Brown, B. T., Williams, B. G., Rubright, J. H., Schmidt, D. L., Pic, A. C., Nakashian, M. R., Schimoler, P. J., Miller, M. C. Tags: Elbow, Sports Medicine Scientific Articles Source Type: research

Conversion of Tibiotalar Arthrodesis to Total Ankle Arthroplasty
Conclusions: Short-term follow-up after conversion of ankle arthrodesis to total ankle arthroplasty demonstrated pain relief and improved function in a majority of patients. Patients who undergo this surgery frequently require concomitant procedures; we recommend prophylactic malleolar fixation when performing conversion total ankle arthroplasty. The rate of complications, particularly talar component settling and migration, is cause for concern. We do not recommend the procedure for ankle arthrodeses that included distal fibulectomy. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete des...
Source: The Journal of Bone and Joint Surgery - December 16, 2015 Category: Orthopaedics Authors: Pellegrini, M. J., Schiff, A. P., Adams, S. B., Queen, R. M., DeOrio, J. K., Nunley, J. A., Easley, M. E. Tags: Foot & Ankle Scientific Articles Source Type: research

Psychological Distress Is Associated with Greater Perceived Disability and Pain in Patients Presenting to a Shoulder Clinic
Conclusions: Catastrophic thinking and decreased self-efficacy are associated with greater shoulder pain and disability. Our data support the notion that patient-to-patient variation in symptom intensity and magnitude of disability is more strongly related to psychological distress than to the specific shoulder diagnosis. 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 - December 16, 2015 Category: Orthopaedics Authors: Menendez, M. E., Baker, D. K., Oladeji, L. O., Fryberger, C. T., McGwin, G., Ponce, B. A. Tags: Shoulder Scientific Articles Source Type: research

An Independent Evaluation of the Validity of a DNA-Based Prognostic Test for Adolescent Idiopathic Scoliosis
Conclusions: ScoliScores did not differ between patients with and without curve progression, and the negative and positive predictive values were lower in our study than in the previously published validation study by the developers of the test. This may be due to differences in our test population, genetic variability, or failure of patients in the non-progression group to follow up. 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 - December 16, 2015 Category: Orthopaedics Authors: Roye, B. D., Wright, M. L., Matsumoto, H., Yorgova, P., McCalla, D., Hyman, J. E., Roye, D. P., Shah, S. A., Vitale, M. G. Tags: Pediatrics, Spine Scientific Articles Source Type: research

Recognizing the Foundation of Peer Review
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 16, 2015 Category: Orthopaedics Authors: Swiontkowski, M. Tags: Editorial Source Type: research

Hip Arthroscopy and Heterotopic Ossification: Is NSAID Prophylaxis Justified?: Commentary on an article by James T. Beckmann, MD, MS, et al.: "Effect of Naproxen Prophylaxis on Heterotopic Ossification Following Hip Arthroscopy: A Double-Blind Randomized Placebo-Controlled Trial"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 16, 2015 Category: Orthopaedics Authors: Loken, S. Tags: Hip, Sports Medicine Commentary and Perspective Source Type: research

The Distance from Bench to Bedside: Commentary on an article by Benjamin D. Roye, MD, MPH, et al.: "An Independent Evaluation of the Validity of a DNA-Based Prognostic Test for Adolescent Idiopathic Scoliosis"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 16, 2015 Category: Orthopaedics Authors: Lee, M. C. Tags: Pediatrics, Spine Commentary and Perspective Source Type: research

Competency-Based Medical Education: Can Both Junior Residents and Senior Residents Achieve Competence After a Sports Medicine Training Module?
Conclusions: Despite intensive teaching within a competency-based medical education model, junior residents were not able to demonstrate knowledge as well as senior residents, suggesting that overall clinical experience is critically important for achieving competency as measured by the Objective Structured Clinical Examination. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Authors: Dwyer, T., Wright, S., Kulasegaram, K. M., Theodoropoulos, J., Chahal, J., Wasserstein, D., Ringsted, C., Hodges, B., Ogilvie-Harris, D. Tags: Sports Medicine Topics in Training Source Type: research

The Growing Gap in Electronic Medical Record Satisfaction Between Clinicians and Information Technology Professionals: Issues of Most Concern and Suggested Remediations
Conclusions: EHRs have the potential to become a powerful tool that may improve many processes related to health care, including quality, safety, and economical aspects. The involvement of physicians in every step of the process, from electronic medical record selection to acquisition, implementation, and ongoing optimization, is crucial for enabling the achievement of the medical organization’s mission. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Authors: Shaha, J. S., El-Othmani, M. M., Saleh, J. K., Bozic, K. J., Wright, J., Tokish, J. M., Shaha, S. H., Saleh, K. J. Tags: The Orthopaedic Forum Source Type: research