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.

Evaluation of the Role for Synovial Aspiration in the Diagnosis of Aseptic Loosening After Total Knee Arthroplasty
Conclusions: Although synovial fluid aspirates in patients with aseptic loosening and those with normal total knee arthroplasties did not differ, synovial fluid aspirate characteristics differed among categories of aseptic failure. As a result, the optimal diagnosis of periprosthetic infection on the basis of synovial aspiration results may need to utilize different cutoff values depending on the alternative mode of failure being considered. Large prospective studies will be necessary to validate these threshold values. Level of Evidence: Diagnostic Level II. See Instructions for Authors for a complete description of leve...
Source: The Journal of Bone and Joint Surgery - October 7, 2015 Category: Orthopaedics Authors: Chalmers, P. N., Walton, D., Sporer, S. M., Levine, B. R. Tags: Knee Scientific Articles Source Type: research

Extensor Mechanism Injuries of the Knee: Demographic Characteristics and Comorbidities from a Review of 726 Patient Records
Conclusions: Females with an extensor mechanism injury are more likely to sustain a patellar fracture compared with males. Younger males are more likely to sustain a patellar fracture or patellar tendon rupture; however, we found that 43% of the patellar tendon ruptures were in patients over the age of forty. Medical comorbidities were common with tendon ruptures, and we found that they were significantly more common in females than in males. Clinical Relevance: Surgeons treating female patients with a tendinous extensor mechanism disruption should have a low threshold to initiate a medical work-up in search of a possible...
Source: The Journal of Bone and Joint Surgery - October 7, 2015 Category: Orthopaedics Authors: Garner, M. R., Gausden, E., Berkes, M. B., Nguyen, J. T., Lorich, D. G. Tags: Knee, Trauma Scientific Articles Source Type: research

Extendible Prostheses for Children After Resection of Primary Malignant Bone Tumor: Twenty-seven Years of Experience
Conclusions: Although limb lengthening with an extendible endoprosthesis seems to be effective, many children have related complications. These data will be a source of preoperative information for children and parents, and will provide a benchmark for further clinical improvements. 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 - October 7, 2015 Category: Orthopaedics Authors: Schinhan, M., Tiefenboeck, T., Funovics, P., Sevelda, F., Kotz, R., Windhager, R. Tags: Oncology, Pediatrics Scientific Articles Source Type: research

Shilla Growth Guidance for Early-Onset Scoliosis: Results After a Minimum of Five Years of Follow-up
Conclusions: The Shilla growth guidance technique is a method of scoliosis treatment that allows spinal growth while controlling the deformity without scheduled repeated surgical procedures. The complication rate is high (73%) but acceptable, and children with a wide variety of diagnoses can be safely treated with the Shilla procedure. 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 - October 7, 2015 Category: Orthopaedics Authors: McCarthy, R. E., McCullough, F. L. Tags: Pediatrics, Spine Scientific Articles Source Type: research

Humeral Head Arthroplasty and Meniscal Allograft Resurfacing of the Glenoid: A Concise Follow-up of a Previous Report and Survivorship Analysis
Abstract: The two to five-year results of humeral head arthroplasty and lateral meniscal allograft resurfacing of the glenoid in patients fifty-five years of age or younger were previously reported by the senior author (M.A.W.). The purpose of the present study was to report the survival rate, clinical findings, and radiographic results of the original thirty shoulders (thirty patients) followed for a mean duration of 8.3 years (range, five to twelve years). The scores on the visual analog scale for pain, American Shoulder and Elbow Surgeons scoring system, and Simple Shoulder Test were significantly improved at the latest...
Source: The Journal of Bone and Joint Surgery - October 7, 2015 Category: Orthopaedics Authors: Bois, A. J., Whitney, I. J., Somerson, J. S., Wirth, M. A. Tags: Shoulder Scientific Articles Source Type: research

Prognostic Indicators for Recurrent Symptoms After a Single Corticosteroid Injection for Carpal Tunnel Syndrome
Conclusions: A single injection achieved symptom relief in 79% of patients at six weeks; these results were maintained in 31% of patients at twelve months. Diabetic patients were at higher risk of symptom recurrence. 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 - October 7, 2015 Category: Orthopaedics Authors: Blazar, P. E., Floyd, W. E., Han, C. H., Rozental, T. D., Earp, B. E. Tags: Hand & Wrist Scientific Articles Source Type: research

Anti-Osteoporotic Therapy After Fragility Fracture Lowers Rate of Subsequent Fracture: Analysis of a Large Population Sample
Conclusions: Treatment with anti-osteoporotic therapy after a fragility fracture leads to a 40% decrease in the three-year risk of subsequent fracture, when adjusted for age and sex. Initiation of anti-osteoporotic therapy following a fragility fracture can prevent a subsequent fracture over the following three years in approximately one of every twenty-seven patients treated. 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 - October 7, 2015 Category: Orthopaedics Authors: Bawa, H. S., Weick, J., Dirschl, D. R. Tags: Trauma Scientific Articles Source Type: research

Osteoporosis and Fragility Fractures: What Progress Have We Made?
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - October 7, 2015 Category: Orthopaedics Authors: Jeray, K. J., Swiontkowski, M. Tags: Trauma Editorial Source Type: research

Guiding Growth Is Promising But Can It Compare with Growth Promotion?: Commentary on an article by Richard E. McCarthy, MD, and Frances L. McCullough, MNSc: "Shilla Growth Guidance for Early-Onset Scoliosis. Results After a Minimum of Five Years of Follow-up"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - October 7, 2015 Category: Orthopaedics Authors: Sucato, D. J. Tags: Pediatrics, Spine Commentary and Perspective Source Type: research

Can't Catch a Break: Try Using Anti-Osteoporotic Therapy: Commentary on an article by Harpreet S. Bawa, MD, et al.: "Anti-Osteoporotic Therapy After Fragility Fracture Lowers Rate of Subsequent Fracture: Analysis of a Large Population Sample"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - October 7, 2015 Category: Orthopaedics Authors: Ong, K. L. Tags: Trauma Commentary and Perspective Source Type: research

What's New in Hip Replacement
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - September 16, 2015 Category: Orthopaedics Authors: Ninomiya, J. T., Dean, J. C., Incavo, S. J. Tags: Hip Specialty Update Source Type: research

High Variability in Outcome Reporting Patterns in High-Impact ACL Literature
Conclusions: Substantial variability in outcome reporting patterns exists among high-impact studies of ACL reconstruction. Such variability may create challenges in interpreting results and pooling them across different studies. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - September 16, 2015 Category: Orthopaedics Authors: Makhni, E. C., Padaki, A. S., Petridis, P. D., Steinhaus, M. E., Ahmad, C. S., Cole, B. J., Bach, B. R. Tags: Sports Medicine Evidence-Based Orthopaedics Source Type: research

Pelvic Fixation in Adult and Pediatric Spine Surgery: Historical Perspective, Indications, and Techniques: AAOS Exhibit Selection
Abstract: Achieving solid osseous fusion across the lumbosacral junction has historically been, and continues to be, a challenge in spine surgery. Robust pelvic fixation plays an integral role in achieving this goal. The goals of this review are to describe the history of and indications for spinopelvic fixation, examine conventional spinopelvic fixation techniques, and review the newer S2-alar-iliac technique and its outcomes in adult and pediatric patients with spinal deformity. Since the introduction of Harrington rods in the 1960s, spinal instrumentation has evolved substantially. Indications for spinopelvic fixation a...
Source: The Journal of Bone and Joint Surgery - September 16, 2015 Category: Orthopaedics Authors: Jain, A., Hassanzadeh, H., Strike, S. A., Menga, E. N., Sponseller, P. D., Kebaish, K. M. Tags: Pediatrics, Spine Scientific Articles Source Type: research

Tibial Plateau Fracture Characteristics: Computed Tomography Mapping of Lateral, Medial, and Bicondylar Fractures
Conclusions: Tibial plateau fracture maps show recurrent patterns of fracture lines, revealing four major fracture characteristics. An understanding of these recurrent features of tibial plateau fractures can aid surgeons during diagnosis, preoperative planning, and execution of surgical strategies. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - September 16, 2015 Category: Orthopaedics Authors: Molenaars, R. J., Mellema, J. J., Doornberg, J. N., Kloen, P. Tags: Trauma Scientific Articles Source Type: research

Thromboembolism After Intramedullary Nailing for Metastatic Bone Lesions
Conclusions: There is a high rate of VTE among those with skeletal metastatic disease who undergo intramedullary nailing, even while receiving postoperative thromboembolic prophylaxis. Current anticoagulation protocols may be inadequate. Wound-complication risk with anticoagulant use in this population is low and should not be a deterrent to adequate anticoagulant use for this population. 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 - September 16, 2015 Category: Orthopaedics Authors: Shallop, B., Starks, A., Greenbaum, S., Geller, D. S., Lee, A., Ready, J., Merli, G., Maltenfort, M., Abraham, J. A. Tags: Oncology, Trauma Scientific Articles Source Type: research