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HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery

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https://www.readbyqxmd.com/read/30258343/has-tranexamic-acid-in-total-knee-arthroplasty-made-tourniquet-use-obsolete
#1
REVIEW
Christopher M Brusalis, Mathias P G Bostrom, Shawn S Richardson
The application of tranexamic acid (TXA) in total joint arthroplasty has dramatically improved peri-operative blood management. In light of these benefits, a study by Huang et al., "Intravenous and Topical Tranexamic Acid Alone Are Superior to Tourniquet Use for Primary Total Knee Arthroplasty," evaluates the need for continued use of the intra-operative tourniquet, which remains a routine practice with documented benefits and adverse effects. This review evaluates the study's design and critically interprets its findings for clinical practice...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258342/basic-science-research-trends-in-orthopedic-surgery-an-analysis-of-the-top-100-cited-articles
#2
REVIEW
Suresh K Nayar, Eric J Dein, Johnathan A Bernard, Bashir A Zikria, Andrea M Spiker
Background: Much of current clinical orthopedics traces its origin to basic science investigation of cellular and biochemical pathways, tissue engineering, and biomechanics of bone and joint physiology in animal and cadaveric models. Questions/Purposes: We sought to describe research trends in highly cited basic science studies in orthopedics. Methods: By searching Web of Science, we identified the 100 most cited basic science orthopedics articles and focused on author position and degree (PhD, MD, or MD/PhD), topic, type of study, country, institution, and citation trends...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258341/scapular-body-fracture-in-the-athlete-a-systematic-review
#3
REVIEW
Mithun Neral, Derrick M Knapik, Robert J Wetzel, Michael J Salata, James E Voos
Background: Scapular body fractures generally occur as a result of high-energy, direct trauma to the shoulder sustained in automobile accidents. While such mechanisms have been well described, little is known about scapular body fractures sustained during sporting activities. Questions/Purposes: We sought to systematically review the literature on scapular body fracture sustained during sporting activity, recording rates and mechanisms of injury, management strategies, and return-to-sport times...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258340/the-quality-of-online-resources-available-to-patients-interested-in-knee-biologic-therapies-is-poor
#4
Benedict U Nwachukwu, Ryan C Rauck, Cynthia A Kahlenberg, Chukwuma Nwachukwu, William W Schairer, Riley J Williams, David W Altchek, Answorth A Allen
Background: As the use of biologic therapies for the management of knee pathology continues to expand, it is more likely that patients will turn to the Internet to gather information on this topic. Given the lack of scientific consensus on the use of biologics, care providers must understand what information is available online. Questions/Purposes: The purpose of this study was to evaluate the quality of websites that patients may use to educate themselves on knee biologics...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258339/contingent-valuation-studies-in-orthopaedic-surgery-a-health-economic-review
#5
REVIEW
Benedict U Nwachukwu, Claire D Eliasberg, Kamran S Hamid, Michael C Fu, Bernard R Bach, Answorth A Allen, Todd J Albert
Background: A greater emphasis on providing high-value orthopaedic interventions has resulted in increased health economic reporting. The contingent-valuation method (CVM) is used to determine consumer valuation of the benefits provided by healthcare interventions. CVM is an important value-based health economic tool that is underutilized in orthopaedic surgery. Questions/Purposes: The purpose of this study was to (1) identify previously published CVM studies in the orthopaedic literature, (2) assess the methodologies used for CVM research, and (3) understand how CVM has been used in the orthopaedic cost-benefit analysis framework...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258338/point-of-care-ultrasonography-in-orthopedic-management-of-hemophilia-multiple-uses-of-an-effective-tool
#6
REVIEW
Hortensia De la Corte-Rodriguez, E Carlos Rodriguez-Merchan, Víctor Jimenez-Yuste
Even in our current era of hemophilia prophylaxis, articular complications can arise and there is a growing need for strategies in the prevention, diagnosis, and treatment of hemophilic arthropathy, a significant contributor to disability in patients with hemophilia. One useful tool, point-of-care ultrasonography (POC-US), offers diverse diagnostic and therapeutic possibilities. This article reviews the literature on the uses of POC-US in hemophilia, including early diagnosis of joint damage, differential diagnosis of articular pain, follow-up of joint injury, and guidance for both arthrocentesis and intra-articular injection...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258337/repair-of-a-proximal-hamstring-rupture-in-a-14-year-old-patient-a-case-report
#7
Patrick S Buckley, Christopher C Dodson
Proximal hamstring tendon ruptures are rare in children and adolescents. The typical pediatric hamstring injury pattern involves an apophyseal avulsion fracture. We present the case of a 14-year-old male with a widely displaced ischial avulsion fracture and a bony fragment that was too small to allow for bony fixation. The patient presented with left-buttock pain and ecchymosis, as well as tenderness at the ischial tuberosity, following an injury sustained while running 2 weeks prior. Imaging demonstrated an avulsion of the proximal hamstrings with a 4-mm bony fragment, too small to allow for repair...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258336/septic-shoulder-joint-after-pneumococcal-vaccination-requiring-surgical-debridement
#8
Michael J DeRogatis, Lalitha Parameswaran, Patrick Lee, Theodore G Mayer, Paul S Issack
No abstract text is available yet for this article.
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258335/peer-to-peer-collaboration-adds-value-for-surgical-colleagues
#9
Ameer M Elbuluk, Michael P Ast, Jeffrey D Stimac, Trevor R Banka, Matthew P Abdel, Jonathan M Vigdorchik
Background: Peer-to-peer advisory among colleagues in orthopedic surgery is commonplace in academic medical centers. In the private practice setting, however, it becomes more difficult for surgeons to discuss complex cases among peers. Purpose/Questions: We sought to study the effect of peer-to-peer mentorship on surgeons' decision-making and on patient care across academic and private adult joint reconstruction practices via the use of group secured messages. Methods: From 2013 to 2016, we established a messaging system that was compliant with the Health Insurance Portability and Accountability Act (HIPAA) among five previous adult hip and knee reconstruction co-fellows in order to discuss complex cases...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258334/mri-findings-at-the-bone-component-interface-in-symptomatic-unicompartmental-knee-arthroplasty-and-the-relationship-to-radiographic-findings
#10
Laura Jill Kleeblad, Hendrik A Zuiderbaan, Alissa J Burge, Mark J Amirtharaj, Hollis G Potter, Andrew D Pearle
Background: The most common modes of failure of cemented unicompartmental knee arthroplasty (UKA) designs are aseptic loosening and unexplained pain at short- to mid-term follow-up, which is likely linked to early fixation failure. Determining these modes of failure remains challenging; conventional radiographs are limited for use in assessing radiolucent lines, with only fair sensitivity and specificity for aseptic loosening. Questions/Purposes: We sought to characterize the bone-component interface of patients with symptomatic cemented medial unicompartmental knee arthroplasty (UKA) using magnetic resonance imaging (MRI) and to determine the relationship between MRI and conventional radiographic findings...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258333/patient-and-surgeon-expectations-prior-to-anterior-cruciate-ligament-reconstruction
#11
Mahmoud Michael Khair, Hassan Ghomrawi, Sean Wilson, Robert G Marx
Background: When discussing potential treatment with patients choosing to undergo surgery for disruption of the anterior cruciate ligament (ACL) and their families, surgeons spend considerable time discussing expectations of the short- and long-term health of the knee. Most of the research examining patient expectations in orthopedic surgery has focused largely on arthroplasty. Questions/Purposes: The purpose of this study was to quantitatively assess the differences between the patient's and the surgeon's expectations before primary anterior cruciate ligament reconstruction (ACLR)...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258332/characterization-of-re-admission-and-emergency-department-visits-within-90-days-following-lower-extremity-arthroplasty
#12
Elina Huerfano, Alejandro Gonzalez Della Valle, Kate Shanaghan, Federico Girardi, Stavros Memtsoudis, Jiabin Liu
Background: Acute care events including emergency department (ED) visits and unscheduled inpatient re-admissions following lower-extremity arthroplasty are not fully understood. Question/Purposes: The purpose of this study was to characterize acute care events occurring after discharge in patients who received a lower-extremity arthroplasty: the incidence, timing, and risk factors of inpatient admission and ED visits within 90 days of discharge. Methods: The New York State Inpatient and Emergency Department Databases were used to identify patients who underwent elective total knee arthroplasty (TKA) or total hip arthroplasty (THA) from 2009 to 2013 (124,234 and 76,411 patients, respectively)...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258331/isokinetic-strength-testing-following-intramedullary-nailing-of-tibial-shaft-fractures-predicts-time-to-recovery-and-return-of-muscle-strength-in-the-injured-extremity-a-prospective-case-series
#13
Alexandra I Goodwin, Brittany E Haws, Ziyad O Knio, Per Kristian Moerk, Anna N Miller
Background: The speed and degree of functional recovery over time after surgery for tibial shaft fracture has been previously described using subjective methods. Questions/Purpose: This study aimed to quantitatively measure recovery of isokinetic strength in the injured leg after surgical repair of isolated closed tibial shaft fracture. Methods: In this prospective case series, patients were recruited after intramedullary nailing for isolated closed tibial shaft fracture at an academic medical center from January 2012 to December 2015...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258330/a-preliminary-comparison-suggests-poor-performance-of-carbon-fiber-reinforced-versus-titanium-plates-in-distal-femoral-osteotomy
#14
Austin T Fragomen, Thomas H McCoy, Fiona R Fragomen
Background: Carbon fiber-reinforced (CFR) polymer implants have theoretical advantages over titanium plates. Questions/Purposes: The aim of the present study was to assess our early outcomes with CFR plates in lateral opening-wedge distal femoral osteotomy to correct valgus lower limb malalignment. We asked the following: (1) Did the CFR polymer implant change time to union when compared with the titanium implant? (2) Did the incidence of displacement of medial cortical fractures differ between the implants? (3) Did the incidence of complications differ between the two techniques, and did other factors, such as bone graft material used, affect healing? Methods: A retrospective review of 16 limbs treated with an opening-wedge distal femoral osteotomy for genu valgum using either titanium ( n  = 10) or CFR plates ( n  = 6) was performed...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258329/a-new-preoperative-planning-technique-can-reduce-radiation-exposure-during-the-performance-of-medial-opening-wedge-high-tibial-osteotomy
#15
Elad Spitzer, Joseph J Ruzbarsky, John B Doyle, Kaitlyn L Yin, Robert G Marx
Background: Medial opening-wedge high tibial osteotomy (HTO) is one of the most common and effective HTO techniques, in which the proximal tibia is cut medially, leaving an intact lateral hinge of bone that can be opened to a variable amount for the desired correction, but the technical complications of lateral cortex fracture and intra-articular fracture are well described. The lateral bone hinge for medial opening-wedge HTO is crucial. If the hinge is too small, the tibia can fracture and become unstable, requiring further fixation...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258328/an-epidemiologic-perspective-on-scaphoid-fracture-treatment-and-frequency-of-nonunion-surgery-in-the-usa
#16
Christopher J Dy, Nikolas H Kazmers, Jack Baty, Kerry Bommarito, Daniel A Osei
Background: Scaphoid fractures treated non-operatively and operatively may be complicated by nonunion. Questions/Purposes: We sought to test the primary hypothesis that the incidence density of scaphoid fracture treatment is higher than previously estimated, to determine the frequency and risk factors for nonunion treatment, and to determine whether the frequency of surgical treatment increased over time. Methods: The MarketScan® database was queried for all records of treatment (casting and surgery) for closed scaphoid fractures over a 6-year period...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258327/differences-in-coracoid-and-glenoid-dimensions-based-on-sex-race-and-age-implications-for-use-of-the-latarjet-technique-in-glenoid-reconstruction
#17
Derrick M Knapik, Jameson Cumsky, Joseph E Tanenbaum, James E Voos, Robert J Gillespie
Background: The Latarjet procedure restores shoulder stability through reconstruction of the glenoid arc. Prior investigations of glenoid and coracoid dimensions have been underpowered to detect differences based on sex and race. Questions/Purposes: We sought to establish normative values for glenoid width and coracoid dimensions based on sex, race, and age. In addition, we assessed the restoration of glenoid dimensions using the classic and modified Latarjet techniques (classic technique: placing lateral surface of the coracoid to the glenoid; modified technique: placing inferior surface of the coracoid to the glenoid)...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258326/disease-burden-of-medial-epicondylitis-in-the-usa-is-increasing-an-analysis-of-19-856-patients-from-2007-to-2014
#18
Anthony J Wiggins, Jourdan M Cancienne, Christopher L Camp, Ryan M Degen, David W Altchek, Joshua S Dines, Brian C Werner
Background: Medial epicondylitis (ME), or "golfer's elbow," is often treated initially by conservative means. Up to 15% of recalcitrant cases require surgical intervention, according to small sample populations, but no national study has determined the incidence of the diagnosis or corroborated the rate of surgical intervention. Purpose/Question: We sought to review the annual incidence of ME, surgical rates, and health care costs in a population setting...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258325/implant-removal-and-spacer-placement-for-infected-shoulder-arthroplasty-risk-factors-for-repeat-procedures-spacer-retention-and-mortality
#19
J M Cancienne, Stephen F Brockmeier, James C Carr, Brian C Werner
Background: Current studies reporting on patients following prosthesis removal and spacer placement for periprosthetic joint infection (PJI) of the shoulder have largely been descriptive and insufficiently powered to determine risk factors for outcomes other than reimplantation. Purpose: The objective of the present study is to provide a national perspective on the 1-year outcomes following prosthesis removal and spacer placement and risk factors for outcomes other than reimplantation for treatment of PJI following shoulder arthroplasty...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/30258324/health-care-disparity-remains-an-important-challenge-for-american-orthopedics
#20
EDITORIAL
Charles N Cornell
No abstract text is available yet for this article.
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
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