What's New in Orthopaedic Research
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Authors: Rodeo, S. A., Lebaschi, A., Carballo, C., Zong, J., Khilnani, T., Cunningham, M. E., Lane, J., Maher, S. Tags: Basic Science Specialty Update Source Type: research

Diagnosis and Management of Periprosthetic Elbow Infection
Periprosthetic elbow infections rarely involve systemic symptoms such as fever or malaise. Unlike tests for periprosthetic hip and knee infections, the diagnostic utility of blood testing and joint aspiration for periprosthetic elbow infection has not been demonstrated to date. Intraoperative histological analysis has good specificity (93.1%) but very low sensitivity (51.3%) for periprosthetic elbow infection. Emerging diagnostic options such as implant sonication, molecular analysis, and advanced synovial fluid cytokine and protein analysis may reduce diagnostic uncertainty in the future. Recommended surgical treatmen...
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Authors: Somerson, J. S., Morrey, M. E., Sanchez-Sotelo, J., Morrey, B. F. Tags: Elbow, Infection Current Concepts Review Source Type: research

A Comparison of Three Diagnostic Tests for Carpal Tunnel Syndrome Using Latent Class Analysis
Conclusions: Ultrasound, nerve conduction studies, and CTS-6 have similar sensitivity and specificity for the diagnosis of carpal tunnel syndrome. The currently accepted reference standard (nerve conduction studies) had the lowest sensitivity and specificity of the three tests. These findings support previous studies that have suggested that CTS-6 and ultrasound are highly accurate in the diagnosis of carpal tunnel syndrome and that nerve conduction studies are not necessary in most cases. Level of Evidence: Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The J...
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Authors: Fowler, J. R., Cipolli, W., Hanson, T. Tags: Hand & Wrist Scientific Articles Source Type: research

The Impact of Hepatitis C on Short-Term Outcomes of Total Joint Arthroplasty
Conclusions: Infection with hepatitis C is an infrequent but increasingly common comorbidity among patients undergoing total joint arthroplasty. Given these findings, orthopaedic surgeons should be aware of the increased risks of total joint arthroplasty in patients with hepatitis C and should discuss these risks with potential surgical candidates during a shared decision-making process. 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 2, 2015 Category: Orthopaedics Authors: Issa, K., Boylan, M. R., Naziri, Q., Perfetti, D. C., Maheshwari, A. V., Mont, M. A. Tags: Hip, Knee Scientific Articles Source Type: research

Comparison of Proximal and Distal Oblique Second Metatarsal Osteotomies with Varying Achilles Tendon Tension: Biomechanical Study in a Cadaver Model
Conclusions: The proximal oblique dorsiflexion metatarsal osteotomy may be the most effective procedure for decreasing plantar pressures under the second metatarsal. The modified distal oblique osteotomy may be the second most effective. Clinical Relevance: The findings of this biomechanical study help shed light on which of the common second metatarsal osteotomies are best for decreasing plantar pressures. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Authors: Aydogan, U., Moore, B., Andrews, S. H., Roush, E. P., Kunselman, A. R., Lewis, G. S. Tags: Foot & Ankle Scientific Articles Source Type: research

The Measurement and Clinical Importance of Syndesmotic Reduction After Operative Fixation of Rotational Ankle Fractures
Conclusions: Within the range of syndesmotic malreductions studied, the quality of syndesmotic reduction did not significantly influence clinical outcomes. These results challenge previous definitions of syndesmotic malreduction and the clinical importance of minor syndesmotic changes. It remains unclear, however, whether greater magnitudes of syndesmotic malreduction than those seen in this cohort would lead to inferior patient-reported outcomes. 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 - December 2, 2015 Category: Orthopaedics Authors: Warner, S. J., Fabricant, P. D., Garner, M. R., Schottel, P. C., Helfet, D. L., Lorich, D. G. Tags: Foot & Ankle, Trauma Scientific Articles Source Type: research

Patient-Reported Health Outcomes After in Situ Percutaneous Fixation for Slipped Capital Femoral Epiphysis: An Average Twenty-Year Follow-up Study
Conclusions: The general self-reported health of this cohort was poor compared with that of the general population. The slip angle on presentation did not correlate with any patient-reported outcome measure collected for this study. Higher BMI was one of the only clinical predictors of patient-reported outcomes. 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 - December 2, 2015 Category: Orthopaedics Authors: Escott, B. G., De La Rocha, A., Jo, C.-H., Sucato, D. J., Karol, L. A. Tags: Hip, Pediatrics Scientific Articles Source Type: research

Management of Modifiable Risk Factors Prior to Primary Hip and Knee Arthroplasty: A Readmission Risk Assessment Tool
Conclusions: Population health management, cost-effective care, and optimization of outcomes to maximize value are the new maxims for health-care delivery in the United States. We found that the RRAT score had a significant association with readmission after joint arthroplasty and could potentially be a clinically useful tool for risk mitigation. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Authors: Boraiah, S., Joo, L., Inneh, I. A., Rathod, P., Meftah, M., Band, P., Bosco, J. A., Iorio, R. Tags: Hip, Knee Scientific Articles Source Type: research

Acetabular Anteversion Changes Due to Spinal Deformity Correction: Bridging the Gap Between Hip and Spine Surgeons
Conclusions: Patients with spinopelvic malalignment had a high prevalence of excessively anteverted acetabular components. Sagittal spinal correction following total hip arthroplasty resulted in reduced acetabular anteversion, which may have implications for stability. Changes in anteversion are most closely related to changes in pelvic tilt in an almost one-to-one ratio. 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 - December 2, 2015 Category: Orthopaedics Authors: Buckland, A. J., Vigdorchik, J., Schwab, F. J., Errico, T. J., Lafage, R., Ames, C., Bess, S., Smith, J., Mundis, G. M., Lafage, V. Tags: Hip, Spine Scientific Articles Source Type: research

Intramedullary Versus Extramedullary Fixation for Unstable Intertrochanteric Fractures: A Prospective Randomized Controlled Trial
Conclusions: While the use of the intramedullary devices led to better radiographic outcomes in this study, this did not translate to improved functional outcomes. 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 2, 2015 Category: Orthopaedics Authors: Reindl, R., Harvey, E. J., Berry, G. K., Rahme, E., on behalf of the Canadian Orthopaedic Trauma Society (COTS) Tags: Trauma Scientific Articles Source Type: research

An Alternative Solution for the Diagnosis of Carpal Tunnel Syndrome: Commentary on an article by John R. Fowler, MD, et al.: "A Comparison of Three Diagnostic Tests for Carpal Tunnel Syndrome Using Latent Class Analysis"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Authors: Day, C. S. Tags: Hand & Wrist Commentary and Perspective Source Type: research

Take Care with Type C: Serious Considerations in the Selection of Patients with Hepatitis C for Total Joint Arthroplasty: Commentary on an article by Kimona Issa, MD, et al.: "The Impact of Hepatitis C on Short-Term Outcomes of Total Joint Arthroplasty"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Authors: Javidan, P., Walker, R. H. Tags: Hip, Knee Commentary and Perspective Source Type: research

Erratum
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - December 2, 2015 Category: Orthopaedics Tags: Erratum Source Type: research

The Evidence Base for the Prognosis and Treatment of Adolescent Idiopathic Scoliosis: The 2015 Orthopaedic Research and Education Foundation Clinical Research Award
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 18, 2015 Category: Orthopaedics Authors: Weinstein, S. L., Dolan, L. A. Tags: Pediatrics, Spine The Orthopaedic Forum Source Type: research

What's New in Orthopaedic Rehabilitation
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 18, 2015 Category: Orthopaedics Authors: Kolman, S., Spiegel, D., Namdari, S., Hosalkar, H., Keenan, M. A., Baldwin, K. Tags: Rehabilitation Specialty Update Source Type: research