Patient-Specific Cutting Guides Were Not Better Than Conventional Instrumentation for Total Knee Arthroplasty
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 18, 2015 Category: Orthopaedics Authors: Mihalko, W. M. Tags: Knee Evidence-Based Orthopaedics Source Type: research

Surgical and Nonsurgical Treatment Produced Similar Outcomes for Proximal Humeral Fractures
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 18, 2015 Category: Orthopaedics Authors: Krieg, J. C. Tags: Shoulder, Trauma Evidence-Based Orthopaedics Source Type: research

X-Stop Resulted in a Higher Reoperation Rate Than Minimally Invasive Decompression, But Both Decreased Symptoms of Neurogenic Intermittent Claudication in Patients with Lumbar Spinal Stenosis
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 18, 2015 Category: Orthopaedics Authors: Huddleston, P. Tags: Spine Evidence-Based Orthopaedics Source Type: research

Gait Analysis and Functional Outcome After Calcaneal Fracture
Conclusions: This study demonstrated that the subtalar joint range of motion of patients after a calcaneal fracture was related both to the quality of the reduction of the subtalar joint as evaluated on postoperative CT scans and patient-reported functional outcome. 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 - November 18, 2015 Category: Orthopaedics Authors: van Hoeve, S., de Vos, J., Verbruggen, J. P. A. M., Willems, P., Meijer, K., Poeze, M. Tags: Foot & Ankle, Trauma Scientific Articles Source Type: research

Improved Magnetic Resonance Imaging Utilization for Children with Musculoskeletal Infection
Conclusions: This initiative promoted improvement in diagnostic efficiency, therapeutic consistency, and patient safety for children with musculoskeletal infection. Clinical Relevance: The findings of this study illustrate the beneficial impact of interdisciplinary coordination of care on clinical outcomes for children with musculoskeletal infection. Tangible improvements occurred for both length of stay and resource utilization. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 18, 2015 Category: Orthopaedics Authors: Mueller, A. J., Kwon, J. K., Steiner, J. W., Mittal, V. S., Fernandes, N. J., Jo, C.-H., Lindsay, E. A., Copley, L. A. B. Tags: Infection, Pediatrics Scientific Articles Source Type: research

Diagnosis of Occult Scaphoid Fractures: A Cost-Effectiveness Analysis
Conclusions: Given its relatively low cost and high diagnostic accuracy, advanced imaging for suspected scaphoid fractures in the setting of negative radiographs represents a cost-effective strategy for reducing both costs and morbidity. The decision to use CT compared with MRI is a function of individual institutional costs and local test performance characteristics. Level of Evidence: Economic and decision analysis 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 - November 18, 2015 Category: Orthopaedics Authors: Karl, J. W., Swart, E., Strauch, R. J. Tags: Hand & Wrist Scientific Articles Source Type: research

Systemic Administration of Sclerostin Antibody Enhances Bone Morphogenetic Protein-Induced Femoral Defect Repair in a Rat Model
Conclusions: In a critical-sized femoral defect in a rat model, local rhBMP-2 combined with systemic administration of Scl-Ab resulted in more robust healing that was stronger and more rigid than results for rhBMP-2 alone and intact nonoperative femora. Clinical Relevance: Our study demonstrated that combining an osteoinductive agent with a systemically administered antibody that promotes bone formation can enhance bone repair and has potential as a therapeutic regimen in humans. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 18, 2015 Category: Orthopaedics Authors: Tinsley, B. A., Dukas, A., Pensak, M. J., Adams, D. J., Tang, A. H., Ominsky, M. S., Ke, H. Z., Lieberman, J. R. Tags: Basic Science, Trauma Scientific Articles Source Type: research

Local Injection of Aminoglycosides for Prophylaxis Against Infection in Open Fractures
Conclusions: This study suggests that local aqueous aminoglycoside administration as an adjunct to systemic antibiotics may be effective in lowering infection rates in open fractures; further research with higher-level research designs are needed. 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 - November 18, 2015 Category: Orthopaedics Authors: Lawing, C. R., Lin, F.-C., Dahners, L. E. Tags: Trauma Scientific Articles Source Type: research

Clinical Outcome and Glenoid Morphology After Arthroscopic Repair of Chronic Osseous Bankart Lesions: A Five to Eight-Year Follow-up Study
Conclusions: Arthroscopic osseous Bankart repair is an effective primary treatment for shoulders with substantial glenoid bone loss as it provides successful outcomes without recurrence of instability once osseous union is obtained. Glenoid morphology can be normalized during the intermediate to long-term postoperative period, even in shoulders with a smaller fragment. 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 - November 18, 2015 Category: Orthopaedics Authors: Kitayama, S., Sugaya, H., Takahashi, N., Matsuki, K., Kawai, N., Tokai, M., Ohnishi, K., Ueda, Y., Hoshika, S., Kitamura, N., Yasuda, K., Moriishi, J. Tags: Shoulder Scientific Articles Source Type: research

Prevalence, Timing, Causes, and Outcomes of Hyponatremia in Hospitalized Orthopaedic Surgery Patients
Conclusions: Hyponatremia in orthopaedic patients is associated with longer, costlier hospitalizations. The factors that significantly increased the risk of developing postoperative hyponatremia were an older age, spine fusion, hip arthroplasty, and the amount of lactated Ringer solution used. 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 - November 18, 2015 Category: Orthopaedics Authors: Hennrikus, E., Ou, G., Kinney, B., Lehman, E., Grunfeld, R., Wieler, J., Damluji, A., Davis, C., Mets, B. Tags: Hip, Spine Scientific Articles Source Type: research

Effect of Head Position on Intraocular Pressure During Lumbar Spine Fusion: A Randomized, Prospective Study
Conclusions: Head elevation for adult lumbar spine fusion performed with the patient prone resulted in significantly lower IOP measurements than those seen when the operation was done with the patient’s head in neutral. As lower IOP correlates with increased optic nerve perfusion, this intervention could mitigate the risk of perioperative blindness after spine surgery done with the patient prone. 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 - November 18, 2015 Category: Orthopaedics Authors: Emery, S. E., Daffner, S. D., France, J. C., Ellison, M., Grose, B. W., Hobbs, G. R., Clovis, N. B. Tags: Spine Scientific Articles Source Type: research

Exploring an Anabolic Approach to Address Nonunion After Bone Fracture: Commentary on an article by Brian A. Tinsley, MD, et al.: "Systemic Administration of Sclerostin Antibody Enhances Bone Morphogenetic Protein-Induced Femoral Defect Repair in a Rat Model"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 18, 2015 Category: Orthopaedics Authors: Voor, M. J. Tags: Basic Science, Trauma Commentary and Perspective Source Type: research

Saline Soliloquy: Shaking Up Our Thoughts on Perioperative Hyponatremia: Commentary on an article by E. Hennrikus, MD, et al.: "Prevalence, Timing, Causes, and Outcomes of Hyponatremia in Hospitalized Orthopaedic Surgery Patients"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 18, 2015 Category: Orthopaedics Authors: Tongue, J. R. Tags: Hip, Spine Commentary and Perspective Source Type: research

The Relationship of Obesity to Increasing Health-Care Burden in the Setting of Orthopaedic Polytrauma
Conclusions: Computed tomographic scans, routinely obtained at the time of admission, can be utilized to calculate truncal adiposity and to investigate the impact of obesity on patients with polytrauma. Obese patients were found to have higher total hospital charges, longer hospital stays, discharge to a continuing-care facility, and a higher rate of orthopaedic surgical intervention. 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 - November 18, 2015 Category: Orthopaedics Authors: Licht, H., Murray, M., Vassaur, J., Jupiter, D. C., Regner, J. L., Chaput, C. D. Tags: Trauma Scientific Articles Source Type: research

Tibial Growth Disturbance Following Distal Femoral Resection and Expandable Endoprosthetic Reconstruction
Conclusions: The tibial growth plate may not resume normal growth after implantation of a distal femoral prosthesis. Physeal bar resection, prosthesis revision, and contralateral tibial epiphysiodesis may be needed to address tibial growth abnormalities. 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 - November 18, 2015 Category: Orthopaedics Authors: Arteau, A., Lewis, V. O., Moon, B. S., Satcher, R. L., Bird, J. E., Lin, P. P. Tags: Oncology, Pediatrics Scientific Articles Source Type: research