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Journal of orthopaedic

Brendan R Southam, Frank R Avilucea, Amanda J Schroeder, Ryan P Finnan, Michael T Archdeacon
Several approaches to the pelvis and acetabulum involve subperiosteal dissection of the iliacus from the internal iliac fossa.Typically bleeding is encountered from the nutrient foramen located near the sacroiliac joint. Bone wax and electrocautery have traditionally been used to achieve hemostasis from this foramen but produce inconsistent results.The authors of this technical tip describe a novel technique of inserting a cortical screw directly into the foramen tocontrol osseous hemorrhage.This technique has been consistently effective at achieving hemostasis in cases of refractory bleeding and has produced no complications...
2018: Journal of Surgical Orthopaedic Advances
Arthur Manoli
There has been debate recently as to whether the lateral column is actually short in the acquired flatfoot. Doubters argue that it is not possible for the lateral column to change in length and actually shorten, especially in the acquired type. In this series of 21 consecutive patients operated on for an acquired flatfoot, the calcaneocuboid joint (CC) had remodeled in all, resulting in the calcaneal side being short, facing laterally and dorsally. These findings give evidence to the rationale for performing a lateral column lengthening (LCL) proximal to the CC joint to treat the acquired flatfoot...
2018: Journal of Surgical Orthopaedic Advances
Udai S Sibia, Abigail E Mandelblatt, G Caleb Alexander, Paul J King, James H MacDonald
Prescription opioids are commonly prescribed for pain relief after total joint arthroplasty (TJA), yet little is known about the quantity of opioids prescribed after surgery. This study retrospectively reviewed a consecutive series of 1000 TJAs from April 2014 through September 2015. Postoperative opioid prescriptions were quantified using standardized morphine milligram equivalents (MME). Eighty-four percent of total knee arthroplasty (TKA) and 77% of total hip arthroplasty (THA) patients were opioid naïve...
2018: Journal of Surgical Orthopaedic Advances
Nicholas B Frisch, Nolan Wessell, Toufic R Jildeh, Alexander Greenstein, S Trent Guthrie
Chronic kidney disease (CKD) is a documented risk factor for hip fracture mortality. CKD represents a spectrum of disease and there is no clear evidence differentiating the risk between patients with early versus end-stage CKD. The purpose of this study was to explore the relationship between the stages of CKD and mortality following operative treatment of hip fractures. Four hundred ninety-eight patients were analyzed; 81 were identified as having CKD. This study followed overall patient mortality at 90 days and at 1 year postoperatively...
2018: Journal of Surgical Orthopaedic Advances
Jennifer Kurowicki, Jacob J Triplet, Samuel Rosas, Tsun Yee Law, Timothy Niedzielak, Enesi Momoh, Jonathan C Levy
The purpose of this study was to examine alterations in national trends managing midshaft clavicle fractures (MCF) and intra-articular distal humerus fractures (DHF) surrounding recent level 1 publications. A retrospective review of the PearlDiver supercomputer for DHF and MCF was performed. Using age limits defined in the original level 1 studies, total use and annual use rates were examined. Nonoperative management and open reduction and internal fixation (ORIF) were reviewed for MCF. ORIF and total elbow arthroplasty (TEA) were reviewed for DHF...
2018: Journal of Surgical Orthopaedic Advances
Joshua T Anderson, Erik Y Tye, Arnold R Haas, Rick Percy, Stephen T Woods, Uri M Ahn, Nicholas U Ahn
Discogenic fusion is associated with variable outcomes, especially if multiple levels are fused. This study sought to determine the impact of fused levels on return to work (RTW) status in a workers' compensation (WC) setting. Nine hundred thirty-seven subjects were selected for study. The primary outcome was the ability to RTW within 2 years following fusion and to sustain this level for greater than 6 months. Many secondary outcomes were collected. A multivariate logistic regression model was used to determine the impact of multilevel fusion on RTW status...
2018: Journal of Surgical Orthopaedic Advances
Basem Attum, Diana G Douleh, Paul S Whiting, Ashley C Dodd, Michelle S Shen, Nikita Lakomkin, William T Obremskey, Manish K Sethi
This study sought to evaluate the outcomes of patients with osseous defects exceeding 5 cm following open femur fractures. Size of the osseous defect, method of internal fixation (plate vs. intramedullary nail), patient demographics, medical comorbidities, and surgical complications were collected. Twenty-seven of the 832 open femur fracture patients had osseous defects exceeding 5 cm. Mean osseous defect size was 8 cm, and each patient had an average of four operations including initial debridement. Average time from injury to bone grafting was 123...
2018: Journal of Surgical Orthopaedic Advances
Mahesh Yarlagadda, Michelle Shen, Abenezer Abraham, Idine Mousavi, Manish K Sethi
The purpose of this study was to identify those complications for which patients with adverse cardiac events are at risk within the 30-day postoperative period following treatment oforthopaedic trauma cases. This was a retrospective cohort study of orthopaedic trauma patients in the United States between 2006 and 2013. A total of 56,336 patients meeting any one of 89 CPT codes in the American College of Surgeons National Surgical Quality Improvement Program database were used. The main outcome measure was myocardial infarction or cardiac arrest within the 30-day postoperative period...
2018: Journal of Surgical Orthopaedic Advances
Scott L Zuckerman, Andrew W Kuhn, Weston Gentry, Andrew Ghaly, Romil D Patel, Aaron M Yengo-Kahn, Zachary Y Kerr, Gary S Solomon
This study aimed to determine if gameplay performance in the National Football League (NFL) is adversely affected after returning to play from a sport-related concussion (SRC). Players who sustained a SRC between the 2007-2008 and 2013-2014 seasons were identified. Concussed players were matched to nonconcussed control players in a 2:1 (control-case) fashion by position, season, experience, age, body mass index, and time missed. Gameplay statistics were recorded for the three games before and after returning from SRC...
2018: Journal of Surgical Orthopaedic Advances
Elizabeth Scott, Mitchell R Klement, Brian E Brigman, William C Eward
Mirels scoring system for determining prophylactic stabilization need of skeletal metastases includes a limited number of variables and does not differentiate between procedure types. This study sought to identify additional variables associated with surgical failure, radiographic disease progression, and patient survival. A retrospective review was performed of patients from January 2004 to 2014 who underwent surgical treatment of skeletal metastases of the extremities, were >18 years of age, and had adequate radiographic surveillance...
2018: Journal of Surgical Orthopaedic Advances
Wesley Frevert, Thomas W Wright, Kevin W Farmer, Qingping Yang, Aimee M Struk, Greg Schultz
Successfully treating shoulder arthroplasty infection requires diagnosis and bacterial identification. Higher incidence of infection with low-virulence bacteria makes this challenging. This study evaluates shoulder prostheses for infection using sonication and a functional biofilm assay. Nineteen patients undergoing revision shoulder arthroplasty were followed prospectively. Periprosthetic tissue and prosthetic components were obtained during the revision and evaluated with a functional biofilm assay. Results were compared with conventional cultures and laboratory results...
2018: Journal of Surgical Orthopaedic Advances
Kamran Movassagi, Kyle N Kunze, Edward C Beck, Michael C Fu, Shane J Nho
BACKGROUND: The citation rate of a research published article is an indicator of its quality and impact and contributes to the journal's impact factor. Within the orthopaedic sports medicine literature, predictors of citation rates have not been previously described. PURPOSE: To identify characteristics of published articles that predict 5-year citation rates of studies in the orthopaedic sports medicine literature. STUDY DESIGN: Cross-sectional study...
November 27, 2018: American Journal of Sports Medicine
Dafina Petrova, Alexander Joeris, María-José Sánchez, Elena Salamanca-Fernández, Rocio Garcia-Retamero
PURPOSE: The numerical format in which risks are communicated can affect risk comprehension and perceptions of medical professionals. We investigated what numerical formats are used to report absolute risks in empirical articles, estimated the frequency of biasing formats and rated the quality of figures used to display the risks. DESIGN: Descriptive study of reporting practices. METHOD: We randomly sampled articles published in seven leading orthopaedic surgery journals during a period of 13 years...
November 25, 2018: BMJ Open
Raju Vaishya, Lalit Maini, Hitesh Lal
No abstract text is available yet for this article.
October 2018: Journal of Clinical Orthopaedics and Trauma
Arielle F Russell, Randall T Loder, Andrew S Gudeman, Peter Bolaji, Piiamaria Virtanen, Elizabeth C Whipple, Melissa A Kacena
This study explored changes in bibliometric variables over the last 30 years for four major musculoskeletal science journals (BONE®), Calcified Tissue International® (CTI®), Journal of Bone and Mineral Research® (JBMR®), and Journal of Orthopaedic Research® (JOR®), with a specific focus on author gender. Bibliometric data were collected for all manuscripts in 1985 (BONE®, CTI®, JOR®), 1986 (JBMR®), 1995, 2005, and 2015; 2776 manuscripts met inclusion criteria. Manuscripts from Europe were more often published in BONE® or CTI®, while those from North America in JBMR® or JOR®...
November 11, 2018: Calcified Tissue International
James Ray Yan, Hassan Baldawi, Johnathan Robert Lex, Gabriel Simchovich, Louis-Philippe Baisi, Anthony Bozzo, Michelle Ghert
BACKGROUND: The open-access model has changed the landscape of academic publishing over the last 20 years. An unfortunate consequence has been the advent of predatory publishing, which exploits the open-access model for monetary gain by collecting publishing fees from authors under the pretense of being a legitimate publication while providing little-to-no peer review. This study aims to investigate the predatory publishing phenomenon in orthopaedic literature. METHODS: We searched Beall's List of Predatory Journals and Publishers and another list of predatory journals for journal titles that are possibly related to orthopaedics...
November 7, 2018: Journal of Bone and Joint Surgery. American Volume
Guanbao Li, Pinquan Li, Qiuan Chen, Hnin Ei Thu, Zahid Hussain
BACKGROUND: Owing to their great promise in the spinal surgeries, bone graft substitutes have been widely investigated for their safety and clinical potential. By the current advances in the spinal surgery, an understanding of the precise biological mechanism of each bone graft substitute is mandatory for upholding the induction of solid spinal fusion. OBJECTIVE: The aim of the present review is to critically discuss various surgical implications and level of evidence of most commonly employed bone graft substitutes for spinal fusion...
October 24, 2018: Current Drug Delivery
Ingrid Arevalo-Rodriguez, Edgar Muñoz, Diana Buitrago-Garcia, Solange Nuñez-González, Nadia Montero-Oleas, Vanessa Garzón, Hector Pardo-Hernandez, Xavier Bonfill
Few Orthopaedics and Traumatology journals from Latin America and Spain are indexed in major databases; controlled clinical trials published in these journals cannot be exhaustively retrieved using electronic literature searches. We aimed to identify, describe and assess the quality of controlled clinical trials published in Orthopaedics and Traumatology journals from Latin America and Spain through handsearching and evidence mapping methods. We identified controlled clinical trials published in eligible Orthopaedics/Traumatology journals in Spanish until July 2017 by handsearching...
2018: SAGE Open Medicine
Walter H Truong, Meghan J Price, Kunal N Agarwal, Joash R Suryavanshi, Sahana Somasegar, Micha Thompson, Peter D Fabricant, Emily R Dodwell
PURPOSE: Clinical changes are best evaluated with standardized, validated outcomes, including both patient-reported outcome measures and surgeon-reported outcome measures (PROMs and SROMs). The purpose of this study was to describe the spectrum of outcome measures used in pediatric orthopaedic publications over the past 10 years and to determine the proportion that are in fact age-appropriate, validated, and appropriately applied in terms of condition and population. METHODS: The Journal of Bone and Joint Surgery, The Bone and Joint Journal, Journal of Pediatric Orthopaedics A and B, and Journal of Children's Orthopaedics were systematically searched for studies including children aged 18 and below, over a 10-year period from January 2005 to December 2014...
October 8, 2018: Journal of Pediatric Orthopedics
Constance R Chu, Scott Rodeo, Nidhi Bhutani, Laurie R Goodrich, Johnny Huard, James Irrgang, Robert F LaPrade, Christian Lattermann, Ying Lu, Bert Mandelbaum, Jeremy Mao, Louis McIntyre, Allan Mishra, George F Muschler, Nicolas S Piuzzi, Hollis Potter, Kurt Spindler, John M Tokish, Rocky Tuan, Kenneth Zaslav, William Maloney
Concern that misinformation from direct-to-consumer marketing of largely unproven "biologic" treatments such as platelet-rich plasma and cell-based therapies may erode the public trust and the responsible investment needed to bring legitimate biological therapies to patients have resulted in calls to action from professional organizations and governing bodies. In response to substantial patient demand for biologic treatment of orthopaedic conditions, the American Academy of Orthopaedic Surgeons convened a collaborative symposium and established a consensus framework for improving and accelerating the clinical evaluation, use, and optimization of biologic therapies for musculoskeletal diseases...
October 8, 2018: Journal of the American Academy of Orthopaedic Surgeons
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