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.

Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues
Increasing attention has been placed on providing higher quality and safer patient care. This requires the development of a new set of competencies to better understand and navigate the system and lead the orthopaedic team. While still trying to learn and develop these competencies, the academic orthopaedist is also expected to model and teach them. The orthopaedic surgeon must understand what is being measured and why, both for purposes of providing better care and to eliminate unnecessary expense in the system. Metrics currently include hospital-acquired conditions, "never events," and thirty-day readmission rates. More ...
Source: The Journal of Bone and Joint Surgery - November 4, 2015 Category: Orthopaedics Authors: Black, K. P., Armstrong, A. D., Hutzler, L., Egol, K. A. Tags: The Orthopaedic Forum Source Type: research

Database and Registry Research in Orthopaedic Surgery: Part 2: Clinical Registry Data
The use of large-scale national databases for observational research in orthopaedic surgery has grown substantially in the last decade, and the data sets can be categorized as either administrative claims or clinical registries. Clinical registries contain secondary data on patients with a specific diagnosis or procedure. The data are typically used for patient outcome surveillance to improve patient safety and health-care quality. Registries used in orthopaedic research exist at the regional, national, and international levels, and many were designed to specifically collect outcomes relevant to orthopaedics, such as sho...
Source: The Journal of Bone and Joint Surgery - November 4, 2015 Category: Orthopaedics Authors: Pugely, A. J., Martin, C. T., Harwood, J., Ong, K. L., Bozic, K. J., Callaghan, J. J. Tags: Hip, Knee Current Concepts Review Source Type: research

Effect of Fibrin Formulation on Initial Strength of Tendon Repair and Migration of Bone Marrow Stromal Cells in Vitro
Conclusions: Higher concentrations of fibrinogen resulted in stronger and stiffer gels, but the strength was far less than that of a tendon suture and these gels were associated with a more rounded cell morphology and reduced cell migration. Therefore, lower concentrations of fibrinogen should be used if a fibrin gel is employed to deliver cells for tendon repair. Clinical Relevance: Concentrations of fibrinogen lower than those used in fibrin glue may be more appropriate if fibrin is employed to create a cell delivery matrix for tendon repair. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 4, 2015 Category: Orthopaedics Authors: Uehara, K., Zhao, C., Gingery, A., Thoreson, A. R., An, K.-N., Amadio, P. C. Tags: Basic Science, Hand & Wrist Scientific Articles Source Type: research

Clinical Outcomes of Semiconstrained Total Elbow Arthroplasty in Patients Who Were Forty Years of Age or Younger
Conclusions: Despite concerns regarding the longevity of total elbow replacements in young patients, long-term follow-up after total elbow arthroplasty showed significant functional improvement and pain relief. Although a desirable range of motion after the surgical procedure was difficult to achieve in patients with preoperative ankylosis, total elbow arthroplasty in selected young patients showed acceptable loosening, reoperation, and implant survival rates. 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 4, 2015 Category: Orthopaedics Authors: Park, J. G., Cho, N. S., Song, J. H., Lee, D. S., Rhee, Y. G. Tags: Elbow Scientific Articles Source Type: research

Incidence, Risk Factors, and Causes for Thirty-Day Unplanned Readmissions Following Primary Lower-Extremity Amputation in Patients with Diabetes
Conclusions: Thirty-day readmission rates following primary lower-extremity amputation in patients with diabetes were high at >10%. Both medical and surgical complications, many of which were unavoidable, contributed to readmission. Quality-reporting metrics should include these risk factors to avoid undeservedly penalizing surgeons and hospitals caring for this patient population. 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 4, 2015 Category: Orthopaedics Authors: Ries, Z., Rungprai, C., Harpole, B., Phruetthiphat, O.-a., Gao, Y., Pugely, A., Phisitkul, P. Tags: Scientific Articles Source Type: research

ACL Graft Position Affects in Situ Graft Force Following ACL Reconstruction
Conclusions: Anatomic ACL reconstruction exposes grafts to higher loads at lower angles of knee flexion. Clinical Relevance: Rehabilitation and return to sports progression may need to be modified to protect an anatomically placed graft after ACL reconstruction. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 4, 2015 Category: Orthopaedics Authors: Araujo, P. H., Asai, S., Pinto, M., Protta, T., Middleton, K., Linde-Rosen, M., Irrgang, J., Smolinski, P., Fu, F. H. Tags: Sports Medicine Scientific Articles Source Type: research

Incidence Trends in the Diagnosis of Giant Cell Tumor of Bone in Sweden Since 1958
Conclusions: Early Swedish Cancer Registry data (1958 to 1982) revealed a higher proportion of malignant giant cell tumors than seen in large sequential case series and a distinct age and sex profile compared with more recent data (1983 to 2011). This likely represents changes in the diagnostic workup and introduction of multidisciplinary review of giant-cell-containing tumors around 1982. Recent data may reflect the impact of expert centralized biopsy and multidisciplinary case review and more comprehensive reporting of benign giant cell tumors. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 4, 2015 Category: Orthopaedics Authors: Rockberg, J., Bach, B. A., Amelio, J., Hernandez, R. K., Sobocki, P., Engellau, J., Bauer, H. C. F., Liede, A. Tags: Oncology Scientific Articles Source Type: research

Morbidity and Mortality Associated with Geriatric Ankle Fractures: A Medicare Part A Claims Database Analysis
Conclusions: Even after selecting for admitted patients and accounting for both age and comorbidity, geriatric patients with ankle fractures were found to have a lower one-year morbidity compared with geriatric patients who had sustained a hip fracture or alternative admitting diagnoses. Geriatric patients with ankle fractures are likely healthier and more active in ways that are not captured by simply accounting for age and comorbidity. These findings may support more aggressive definitive management of such injuries in this population. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete ...
Source: The Journal of Bone and Joint Surgery - November 4, 2015 Category: Orthopaedics Authors: Hsu, R. Y., Lee, Y., Hayda, R., DiGiovanni, C. W., Mor, V., Bariteau, J. T. Tags: Foot & Ankle, Trauma Scientific Articles Source Type: research

ProDisc-C Total Disc Replacement Versus Anterior Cervical Discectomy and Fusion for Single-Level Symptomatic Cervical Disc Disease: Seven-Year Follow-up of the Prospective Randomized U.S. Food and Drug Administration Investigational Device Exemption Study
Conclusions: Total disc arthroplasty with ProDisc-C is a safe and effective surgical treatment of single-level symptomatic cervical degenerative disc disease. Clinical outcomes after total disc arthroplasty with ProDisc-C were similar to those after ACDF. Patients treated with ProDisc-C had a lower probability of subsequent surgery, suggesting that total disc arthroplasty provides durable results and has the potential to slow the rate of adjacent-level disease. 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 4, 2015 Category: Orthopaedics Authors: Janssen, M. E., Zigler, J. E., Spivak, J. M., Delamarter, R. B., Darden, B. V., Kopjar, B. Tags: Spine Scientific Articles Source Type: research

Treatment of Nontraumatic Rotator Cuff Tears: A Randomized Controlled Trial with Two Years of Clinical and Imaging Follow-up
Conclusions: There was no significant difference in clinical outcome between the three interventions at the two-year follow-up. The potential progression of the rotator cuff tear, especially in the non-repaired treatment groups, warrants further follow-up. On the basis of our findings, conservative treatment is a reasonable option for the primary initial treatment for isolated, symptomatic, nontraumatic, supraspinatus tears in older patients. Level of Evidence: Therapeutic Level I. See Instructions to 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 4, 2015 Category: Orthopaedics Authors: Kukkonen, J., Joukainen, A., Lehtinen, J., Mattila, K. T., Tuominen, E. K. J., Kauko, T., Äärimaa, V. Tags: Shoulder Scientific Articles Source Type: research

Cervical Disc Replacement: Are We There Yet?: Commentary on an article by Michael E. Janssen, DO, et al.: "ProDisc-C Total Disc Replacement Versus Anterior Cervical Discectomy and Fusion for Single-Level Symptomatic Cervical Disc Disease. Seven-Year Follow-up of the Prospective Randomized U.S. Food and Drug Administration Investigational Device Exemption Study"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 4, 2015 Category: Orthopaedics Authors: Mendoza-Lattes, S. Tags: Spine Commentary and Perspective Source Type: research

Initial Nonoperative Care Is Reasonable for Older Patients: Commentary on an article by Juha Kukkonen, MD, PhD, et al.: "Treatment of Nontraumatic Rotator Cuff Tears. A Randomized Controlled Trial with Two Years of Clinical and Imaging Follow-up"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - November 4, 2015 Category: Orthopaedics Authors: Yamaguchi, K. Tags: Shoulder Commentary and Perspective Source Type: research

What's New in Shoulder and Elbow Surgery?
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - October 21, 2015 Category: Orthopaedics Authors: Chamberlain, A. M., Namdari, S., Keener, J. D. Tags: Elbow, Shoulder Specialty Update Source Type: research

The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - October 21, 2015 Category: Orthopaedics Authors: Mulpuri, K., Song, K. M., Gross, R. H., Tebor, G. B., Otsuka, N. Y., Lubicky, J. P., Szalay, E. A., Harcke, H. T., Zehr, B., Spooner, A., Campos-Outcalt, D., Henningsen, C., Jevsevar, D. S., Goldberg, M., Brox, W. T., Shea, K., Bozic, K. J., Shaffer, W., Tags: Pediatrics Evidence-Based Orthopaedics Source Type: research

Scapular Winging: Evaluation and Treatment: AAOS Exhibit Selection
Abstract: Scapular winging is a rare, underreported, and debilitating disorder that produces abnormal scapulothoracic kinematics, which can lead to shoulder weakness, decreased range of motion, and substantial pain. Although there are numerous underlying etiologies, injuries to the long thoracic nerve or spinal accessory nerve are the most common, with resultant neuromuscular imbalance in the scapulothoracic stabilizing muscles. Early diagnosis followed by initiation of a treatment algorithm is important for successful outcomes. Most cases resolve with nonsurgical management. However, in patients with persistent symptoms d...
Source: The Journal of Bone and Joint Surgery - October 21, 2015 Category: Orthopaedics Authors: Lee, S., Savin, D. D., Shah, N. R., Bronsnick, D., Goldberg, B. Tags: Shoulder Scientific Articles Source Type: research