Can a Deep-learning Model for the Automated Detection of Vertebral Fractures Approach the Performance Level of Human Subspecialists?
Clin Orthop Relat Res. 2021 Feb 26. doi: 10.1097/CORR.0000000000001685. Online ahead of print.ABSTRACTBACKGROUND: Vertebral fractures are the most common osteoporotic fractures in older individuals. Recent studies suggest that the performance of artificial intelligence is equal to humans in detecting osteoporotic fractures, such as fractures of the hip, distal radius, and proximal humerus. However, whether artificial intelligence performs as well in the detection of vertebral fractures on plain lateral spine radiographs has not yet been reported.QUESTIONS/PURPOSES: (1) What is the accuracy, sensitivity, specificity, and in...
Source: Clinical Orthopaedics and Related Research - March 2, 2021 Category: Orthopaedics Authors: Yi-Chu Li Hung-Hsun Chen Henry Horng-Shing Lu Hung-Ta Hondar Wu Ming-Chau Chang Po-Hsin Chou Source Type: research

Can a Deep-learning Model for the Automated Detection of Vertebral Fractures Approach the Performance Level of Human Subspecialists?
Clin Orthop Relat Res. 2021 Feb 26. doi: 10.1097/CORR.0000000000001685. Online ahead of print.ABSTRACTBACKGROUND: Vertebral fractures are the most common osteoporotic fractures in older individuals. Recent studies suggest that the performance of artificial intelligence is equal to humans in detecting osteoporotic fractures, such as fractures of the hip, distal radius, and proximal humerus. However, whether artificial intelligence performs as well in the detection of vertebral fractures on plain lateral spine radiographs has not yet been reported.QUESTIONS/PURPOSES: (1) What is the accuracy, sensitivity, specificity, and in...
Source: Clinical Orthopaedics and Related Research - March 2, 2021 Category: Orthopaedics Authors: Yi-Chu Li Hung-Hsun Chen Henry Horng-Shing Lu Hung-Ta Hondar Wu Ming-Chau Chang Po-Hsin Chou Source Type: research

CORR Insights ®: Low Reinfection Rates but a High Rate of Complications in THA for Infection Sequelae in Childhood: A Systematic Review
Clin Orthop Relat Res. 2021 Feb 25. doi: 10.1097/CORR.0000000000001696. Online ahead of print.NO ABSTRACTPMID:33635283 | DOI:10.1097/CORR.0000000000001696 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Carl A Deirmengian Source Type: research

CORR Insights ®: Does the Addition of a Vascularized Fibula Improve the Results of a Massive Bone Allograft Alone for Intercalary Femur Reconstruction of Malignant Bone Tumors in Children?
Clin Orthop Relat Res. 2021 Feb 26. doi: 10.1097/CORR.0000000000001701. Online ahead of print.NO ABSTRACTPMID:33635284 | DOI:10.1097/CORR.0000000000001701 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: D Luis Muscolo Source Type: research

What Is the Comparative Ability of 18F-FDG PET/CT, 99mTc-MDP Skeletal Scintigraphy, and Whole-body MRI as a Staging Investigation to Detect Skeletal Metastases in Patients with Osteosarcoma and Ewing Sarcoma?
CONCLUSION: Based on these results, we could not demonstrate a difference in the sensitivity, specificity, PPV, and NPV between 18F-FDG PET/CT, whole-body MRI, and 99mTc-MDP skeletal scintigraphy for detecting skeletal metastases in patients with osteosarcoma and Ewing sarcoma. For proper prognostication, a thorough metastatic workup is essential, which should include a highly sensitive investigation tool to detect skeletal metastases. However, our study findings suggest that there is no difference between these three imaging tools. Since this is a small group of patients in whom it is difficult to make broad recommendatio...
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Aayush Aryal Venkatesan Sampath Kumar Shamim Ahmed Shamim Shivanand Gamanagatti Shah Alam Khan Source Type: research

What Is the Survival of the Telescope Allograft Technique to Augment a Short Proximal Femur Segment in Children After Resection and Distal Femur Endoprosthesis Reconstruction for a Bone Sarcoma?
CONCLUSION: Although this is a small group of patients, we believe that allograft segments help augment short bone stock of the proximal femur after long-segment resections, and the telescopic technique seems to be associated with a low proportion of nonunion or delayed union, which is one of the most common complications of allografts. Maintaining an adequate length of the proximal femur is important in preserving the hip, and this technique may be especially useful for young individuals who may undergo repeated revision procedures.LEVEL OF EVIDENCE: Level IV, therapeutic study.PMID:33635286 | DOI:10.1097/CORR.00000000000...
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Suraj Hindiskere Eric Staals Davide Maria Donati Marco Manfrini Source Type: research

CORR Insights ®: Low Reinfection Rates but a High Rate of Complications in THA for Infection Sequelae in Childhood: A Systematic Review
Clin Orthop Relat Res. 2021 Feb 25. doi: 10.1097/CORR.0000000000001696. Online ahead of print.NO ABSTRACTPMID:33635283 | DOI:10.1097/CORR.0000000000001696 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Carl A Deirmengian Source Type: research

CORR Insights ®: Does the Addition of a Vascularized Fibula Improve the Results of a Massive Bone Allograft Alone for Intercalary Femur Reconstruction of Malignant Bone Tumors in Children?
Clin Orthop Relat Res. 2021 Feb 26. doi: 10.1097/CORR.0000000000001701. Online ahead of print.NO ABSTRACTPMID:33635284 | DOI:10.1097/CORR.0000000000001701 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: D Luis Muscolo Source Type: research

What Is the Comparative Ability of 18F-FDG PET/CT, 99mTc-MDP Skeletal Scintigraphy, and Whole-body MRI as a Staging Investigation to Detect Skeletal Metastases in Patients with Osteosarcoma and Ewing Sarcoma?
CONCLUSION: Based on these results, we could not demonstrate a difference in the sensitivity, specificity, PPV, and NPV between 18F-FDG PET/CT, whole-body MRI, and 99mTc-MDP skeletal scintigraphy for detecting skeletal metastases in patients with osteosarcoma and Ewing sarcoma. For proper prognostication, a thorough metastatic workup is essential, which should include a highly sensitive investigation tool to detect skeletal metastases. However, our study findings suggest that there is no difference between these three imaging tools. Since this is a small group of patients in whom it is difficult to make broad recommendatio...
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Aayush Aryal Venkatesan Sampath Kumar Shamim Ahmed Shamim Shivanand Gamanagatti Shah Alam Khan Source Type: research

What Is the Survival of the Telescope Allograft Technique to Augment a Short Proximal Femur Segment in Children After Resection and Distal Femur Endoprosthesis Reconstruction for a Bone Sarcoma?
CONCLUSION: Although this is a small group of patients, we believe that allograft segments help augment short bone stock of the proximal femur after long-segment resections, and the telescopic technique seems to be associated with a low proportion of nonunion or delayed union, which is one of the most common complications of allografts. Maintaining an adequate length of the proximal femur is important in preserving the hip, and this technique may be especially useful for young individuals who may undergo repeated revision procedures.LEVEL OF EVIDENCE: Level IV, therapeutic study.PMID:33635286 | DOI:10.1097/CORR.00000000000...
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Suraj Hindiskere Eric Staals Davide Maria Donati Marco Manfrini Source Type: research

CORR Insights ®: Low Reinfection Rates but a High Rate of Complications in THA for Infection Sequelae in Childhood: A Systematic Review
Clin Orthop Relat Res. 2021 Feb 25. doi: 10.1097/CORR.0000000000001696. Online ahead of print.NO ABSTRACTPMID:33635283 | DOI:10.1097/CORR.0000000000001696 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Carl A Deirmengian Source Type: research

CORR Insights ®: Does the Addition of a Vascularized Fibula Improve the Results of a Massive Bone Allograft Alone for Intercalary Femur Reconstruction of Malignant Bone Tumors in Children?
Clin Orthop Relat Res. 2021 Feb 26. doi: 10.1097/CORR.0000000000001701. Online ahead of print.NO ABSTRACTPMID:33635284 | DOI:10.1097/CORR.0000000000001701 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: D Luis Muscolo Source Type: research

What Is the Comparative Ability of 18F-FDG PET/CT, 99mTc-MDP Skeletal Scintigraphy, and Whole-body MRI as a Staging Investigation to Detect Skeletal Metastases in Patients with Osteosarcoma and Ewing Sarcoma?
CONCLUSION: Based on these results, we could not demonstrate a difference in the sensitivity, specificity, PPV, and NPV between 18F-FDG PET/CT, whole-body MRI, and 99mTc-MDP skeletal scintigraphy for detecting skeletal metastases in patients with osteosarcoma and Ewing sarcoma. For proper prognostication, a thorough metastatic workup is essential, which should include a highly sensitive investigation tool to detect skeletal metastases. However, our study findings suggest that there is no difference between these three imaging tools. Since this is a small group of patients in whom it is difficult to make broad recommendatio...
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Aayush Aryal Venkatesan Sampath Kumar Shamim Ahmed Shamim Shivanand Gamanagatti Shah Alam Khan Source Type: research

What Is the Survival of the Telescope Allograft Technique to Augment a Short Proximal Femur Segment in Children After Resection and Distal Femur Endoprosthesis Reconstruction for a Bone Sarcoma?
CONCLUSION: Although this is a small group of patients, we believe that allograft segments help augment short bone stock of the proximal femur after long-segment resections, and the telescopic technique seems to be associated with a low proportion of nonunion or delayed union, which is one of the most common complications of allografts. Maintaining an adequate length of the proximal femur is important in preserving the hip, and this technique may be especially useful for young individuals who may undergo repeated revision procedures.LEVEL OF EVIDENCE: Level IV, therapeutic study.PMID:33635286 | DOI:10.1097/CORR.00000000000...
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Suraj Hindiskere Eric Staals Davide Maria Donati Marco Manfrini Source Type: research

CORR Insights ®: Low Reinfection Rates but a High Rate of Complications in THA for Infection Sequelae in Childhood: A Systematic Review
Clin Orthop Relat Res. 2021 Feb 25. doi: 10.1097/CORR.0000000000001696. Online ahead of print.NO ABSTRACTPMID:33635283 | DOI:10.1097/CORR.0000000000001696 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Carl A Deirmengian Source Type: research

CORR Insights ®: Does the Addition of a Vascularized Fibula Improve the Results of a Massive Bone Allograft Alone for Intercalary Femur Reconstruction of Malignant Bone Tumors in Children?
Clin Orthop Relat Res. 2021 Feb 26. doi: 10.1097/CORR.0000000000001701. Online ahead of print.NO ABSTRACTPMID:33635284 | DOI:10.1097/CORR.0000000000001701 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: D Luis Muscolo Source Type: research

What Is the Comparative Ability of 18F-FDG PET/CT, 99mTc-MDP Skeletal Scintigraphy, and Whole-body MRI as a Staging Investigation to Detect Skeletal Metastases in Patients with Osteosarcoma and Ewing Sarcoma?
CONCLUSION: Based on these results, we could not demonstrate a difference in the sensitivity, specificity, PPV, and NPV between 18F-FDG PET/CT, whole-body MRI, and 99mTc-MDP skeletal scintigraphy for detecting skeletal metastases in patients with osteosarcoma and Ewing sarcoma. For proper prognostication, a thorough metastatic workup is essential, which should include a highly sensitive investigation tool to detect skeletal metastases. However, our study findings suggest that there is no difference between these three imaging tools. Since this is a small group of patients in whom it is difficult to make broad recommendatio...
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Aayush Aryal Venkatesan Sampath Kumar Shamim Ahmed Shamim Shivanand Gamanagatti Shah Alam Khan Source Type: research

What Is the Survival of the Telescope Allograft Technique to Augment a Short Proximal Femur Segment in Children After Resection and Distal Femur Endoprosthesis Reconstruction for a Bone Sarcoma?
CONCLUSION: Although this is a small group of patients, we believe that allograft segments help augment short bone stock of the proximal femur after long-segment resections, and the telescopic technique seems to be associated with a low proportion of nonunion or delayed union, which is one of the most common complications of allografts. Maintaining an adequate length of the proximal femur is important in preserving the hip, and this technique may be especially useful for young individuals who may undergo repeated revision procedures.LEVEL OF EVIDENCE: Level IV, therapeutic study.PMID:33635286 | DOI:10.1097/CORR.00000000000...
Source: Clinical Orthopaedics and Related Research - February 26, 2021 Category: Orthopaedics Authors: Suraj Hindiskere Eric Staals Davide Maria Donati Marco Manfrini Source Type: research

CORR Insights ®: Is the Combination of Convex Compression for the Proximal Thoracic Curve and Concave Distraction for the Main Thoracic Curve Using Separate-rod Derotation Effective for Correcting Shoulder Balance and Thoracic Kyphosis?
Clin Orthop Relat Res. 2021 Feb 23. doi: 10.1097/CORR.0000000000001694. Online ahead of print.NO ABSTRACTPMID:33626025 | DOI:10.1097/CORR.0000000000001694 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 24, 2021 Category: Orthopaedics Authors: Kent A Reinker Source Type: research

Clinician Factors Rather Than Patient Factors Affect Discussion of Treatment Options
Clin Orthop Relat Res. 2021 Feb 24. doi: 10.1097/CORR.0000000000001664. Online ahead of print.ABSTRACTBACKGROUND: Shared decision-making aims to combine what matters most to a patient with clinician expertise to develop a personalized health strategy. It is a dialogue between patient and clinician in which preferences are expressed, misconceptions reoriented, and available options are considered. To improve patient involvement, it would help to know more about specific barriers and facilitators of patient-clinician communication. Health literacy, the ability to obtain, process, and understand health information, may affect...
Source: Clinical Orthopaedics and Related Research - February 24, 2021 Category: Orthopaedics Authors: Bastiaan T van Hoorn Luke X van Rossenberg Xander Jacobs George S I Sulkers Mark van Heijl David Ring Source Type: research

CORR Insights ®: Is the Combination of Convex Compression for the Proximal Thoracic Curve and Concave Distraction for the Main Thoracic Curve Using Separate-rod Derotation Effective for Correcting Shoulder Balance and Thoracic Kyphosis?
Clin Orthop Relat Res. 2021 Feb 23. doi: 10.1097/CORR.0000000000001694. Online ahead of print.NO ABSTRACTPMID:33626025 | DOI:10.1097/CORR.0000000000001694 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 24, 2021 Category: Orthopaedics Authors: Kent A Reinker Source Type: research

Clinician Factors Rather Than Patient Factors Affect Discussion of Treatment Options
Clin Orthop Relat Res. 2021 Feb 24. doi: 10.1097/CORR.0000000000001664. Online ahead of print.ABSTRACTBACKGROUND: Shared decision-making aims to combine what matters most to a patient with clinician expertise to develop a personalized health strategy. It is a dialogue between patient and clinician in which preferences are expressed, misconceptions reoriented, and available options are considered. To improve patient involvement, it would help to know more about specific barriers and facilitators of patient-clinician communication. Health literacy, the ability to obtain, process, and understand health information, may affect...
Source: Clinical Orthopaedics and Related Research - February 24, 2021 Category: Orthopaedics Authors: Bastiaan T van Hoorn Luke X van Rossenberg Xander Jacobs George S I Sulkers Mark van Heijl David Ring Source Type: research

CORR Insights ®: What Mid-term Patient-reported Outcome Measure Scores, Reoperations, and Complications Are Associated with Concurrent Hip Arthroscopy and Periacetabular Osteotomy to Treat Dysplasia with Associated Intraarticular Abnormalities?
Clin Orthop Relat Res. 2021 Feb 18. doi: 10.1097/CORR.0000000000001649. Online ahead of print.NO ABSTRACTPMID:33617157 | DOI:10.1097/CORR.0000000000001649 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 22, 2021 Category: Orthopaedics Authors: Yasuharu Nakashima Source Type: research

Does Biceps Tenotomy or Tenodesis Have Better Results After Surgery? A Systematic Review and Meta-analysis
In this study, we only reported differences between the groups if they were both statistically valid and larger than the minimum clinically important difference (MCID).RESULTS: Comparing tenotomy and tenodesis, we observed no difference between the groups regarding pain in the long-term (mean difference 0.25 [95% confidence interval -0.29 to 0.80]; p = 0.36). There was no difference in Constant score in the long-term (mean difference -1.45 [95% CI -2.96 to 0.06]; p = 0.06). There were no differences when evaluating for major complications (odds ratio 1.37 [95% CI 0.29 to 6.56]; p = 0.70). There were not enough papers evalu...
Source: Clinical Orthopaedics and Related Research - February 22, 2021 Category: Orthopaedics Authors: Julia Pozzetti Daou Dan Yuta Nagaya Fabio Teruo Matsunaga Marcel Jun Sugawara Tamaoki Source Type: research

Low Reinfection Rates But a High Rate of Complications in THA for Infection Sequelae in Childhood: A Systematic Review
CONCLUSION: In THAs for sequelae of childhood septic arthritis, reinfections were uncommon, whereas generally, infection rates were slightly higher than those reported for conventional primary THAs. However, the duration of follow-up might have been insufficient to identify all patients in whom infections later developed, and the available data were not adequate to precisely detect the minimum quiescent period to avoid reinfections. Moreover, the studies in this systematic review were retrospective, and selection bias, transfer bias, and assessment bias likely influenced our findings. The general effect of these biases is ...
Source: Clinical Orthopaedics and Related Research - February 22, 2021 Category: Orthopaedics Authors: Rocco D'Apolito Guido Bandettini Gregorio Rossi Filippo Piana Jacquot Luigi Zagra Source Type: research

CORR Insights ®: What Mid-term Patient-reported Outcome Measure Scores, Reoperations, and Complications Are Associated with Concurrent Hip Arthroscopy and Periacetabular Osteotomy to Treat Dysplasia with Associated Intraarticular Abnormalities?
Clin Orthop Relat Res. 2021 Feb 18. doi: 10.1097/CORR.0000000000001649. Online ahead of print.NO ABSTRACTPMID:33617157 | DOI:10.1097/CORR.0000000000001649 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 22, 2021 Category: Orthopaedics Authors: Yasuharu Nakashima Source Type: research

Does Biceps Tenotomy or Tenodesis Have Better Results After Surgery? A Systematic Review and Meta-analysis
In this study, we only reported differences between the groups if they were both statistically valid and larger than the minimum clinically important difference (MCID).RESULTS: Comparing tenotomy and tenodesis, we observed no difference between the groups regarding pain in the long-term (mean difference 0.25 [95% confidence interval -0.29 to 0.80]; p = 0.36). There was no difference in Constant score in the long-term (mean difference -1.45 [95% CI -2.96 to 0.06]; p = 0.06). There were no differences when evaluating for major complications (odds ratio 1.37 [95% CI 0.29 to 6.56]; p = 0.70). There were not enough papers evalu...
Source: Clinical Orthopaedics and Related Research - February 22, 2021 Category: Orthopaedics Authors: Julia Pozzetti Daou Dan Yuta Nagaya Fabio Teruo Matsunaga Marcel Jun Sugawara Tamaoki Source Type: research

Low Reinfection Rates But a High Rate of Complications in THA for Infection Sequelae in Childhood: A Systematic Review
CONCLUSION: In THAs for sequelae of childhood septic arthritis, reinfections were uncommon, whereas generally, infection rates were slightly higher than those reported for conventional primary THAs. However, the duration of follow-up might have been insufficient to identify all patients in whom infections later developed, and the available data were not adequate to precisely detect the minimum quiescent period to avoid reinfections. Moreover, the studies in this systematic review were retrospective, and selection bias, transfer bias, and assessment bias likely influenced our findings. The general effect of these biases is ...
Source: Clinical Orthopaedics and Related Research - February 22, 2021 Category: Orthopaedics Authors: Rocco D'Apolito Guido Bandettini Gregorio Rossi Filippo Piana Jacquot Luigi Zagra Source Type: research

The Acetabular Wall Index Is Associated with Long Term Conversion to THA after PAO
Clin Orthop Relat Res. 2021 Feb 18. doi: 10.1097/CORR.0000000000001641. Online ahead of print.ABSTRACTBACKGROUND: Periacetabular osteotomy (PAO) has been shown to be a valuable option for delaying the onset of osteoarthritis in patients with hip dysplasia. Published studies at 30 years of follow-up found that postoperative anterior overcoverage and posterior undercoverage were associated with early conversion to THA. The anterior and posterior wall indices are practical tools for assessing AP coverage on standard AP radiographs of the pelvis pre-, intra-, and postoperatively. However, no study that we know of has evaluated...
Source: Clinical Orthopaedics and Related Research - February 19, 2021 Category: Orthopaedics Authors: Vera M Stetzelberger Christiane S Leibold Simon D Steppacher Joseph M Schwab Klaus A Siebenrock Moritz Tannast Source Type: research

Letter to the Editor: Disruption of the Gut Microbiome Increases the Risk of Periprosthetic Joint Infection in Mice
Clin Orthop Relat Res. 2021 Feb 18. doi: 10.1097/CORR.0000000000001680. Online ahead of print.NO ABSTRACTPMID:33605632 | DOI:10.1097/CORR.0000000000001680 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 19, 2021 Category: Orthopaedics Authors: Lukasz Pulik Nina Grabowska Mateusz Olbrys Karolina Gorecka Pawel Legosz Source Type: research

The Acetabular Wall Index Is Associated with Long Term Conversion to THA after PAO.
Abstract BACKGROUND: Periacetabular osteotomy (PAO) has been shown to be a valuable option for delaying the onset of osteoarthritis in patients with hip dysplasia. Published studies at 30 years of follow-up found that postoperative anterior overcoverage and posterior undercoverage were associated with early conversion to THA. The anterior and posterior wall indices are practical tools for assessing AP coverage on standard AP radiographs of the pelvis pre-, intra-, and postoperatively. However, no study that we know of has evaluated the relationship between the postoperative anterior and posterior wall indices and ...
Source: Clinical Orthopaedics and Related Research - February 18, 2021 Category: Orthopaedics Authors: Stetzelberger VM, Leibold CS, Steppacher SD, Schwab JM, Siebenrock KA, Tannast M Tags: Clin Orthop Relat Res Source Type: research

Letter to the Editor: Disruption of the Gut Microbiome Increases the Risk of Periprosthetic Joint Infection in Mice.
PMID: 33605632 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 18, 2021 Category: Orthopaedics Authors: Pulik L, Grabowska N, Olbrys M, Gorecka K, Legosz P Tags: Clin Orthop Relat Res Source Type: research

CORR Synthesis: When Should the Orthopaedic Surgeon Use Artificial Intelligence, Machine Learning, and Deep Learning?
PMID: 33595930 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 17, 2021 Category: Orthopaedics Authors: Murphy MP, Brown NM Tags: Clin Orthop Relat Res Source Type: research

Virtue Ethics in a Value-Driven World: Responsibility Without Blame.
PMID: 33595931 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 17, 2021 Category: Orthopaedics Authors: Humbyrd CJ Tags: Clin Orthop Relat Res Source Type: research

Compliant Compression Reconstruction of the Proximal Femur Is Durable Despite Minimal Bone Formation in the Compression Segment.
CONCLUSION: Despite scant bone formation across the compression segment and drastically less formation than reported for distal femoral replacements, compliant compression fixation of the proximal femur demonstrated good survivorship in patients 65 years or younger with localized sarcoma and nonirradiated, adequate bone stock in this small, retrospective series. Patients achieved good functional outcomes at final follow-up. The potential benefit of this reconstruction method should be weighed against the initial period of limited weightbearing and the life expectancy of the patient. LEVEL OF EVIDENCE: Level IV, cohort...
Source: Clinical Orthopaedics and Related Research - February 17, 2021 Category: Orthopaedics Authors: Christ AB, Fujiwara T, Fabbri N, Healey JH Tags: Clin Orthop Relat Res Source Type: research

What Is the Implant Survivorship and Functional Outcome After Total Humeral Replacement in Patients with Primary Bone Tumors?
CONCLUSION: Total humeral replacement after resection of locally advanced bone tumors appears to be associated with a good functional outcome in patients who do not die of their tumors, which in our study was approximately one- third of those who were treated with a resection and total humerus prosthesis. However, the probability of early prosthetic revision surgery is high, especially in patients undergoing extraarticular resections, who should be counseled accordingly. Still, our results suggest that if the prosthesis survives the first year, further risk for revision appears to be low. Future studies should reexamine th...
Source: Clinical Orthopaedics and Related Research - February 16, 2021 Category: Orthopaedics Authors: Schneider KN, Bröking JN, Gosheger G, Lübben T, Hardes J, Schorn D, Smolle MA, Theil C, Andreou D Tags: Clin Orthop Relat Res Source Type: research

Erratum to: How Successful Is Antibiotic Treatment for Superficial Surgical Site Infections After Open Fracture? A Fluid Lavage of Open Wounds (FLOW) Cohort Secondary Analysis.
ators PMID: 33577209 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 12, 2021 Category: Orthopaedics Authors: Prada C, Tanner SL, Marcano-Fernández FA, Bzovsky S, Schemitsch EH, Jeray K, Petrisor B, Bhandari M, Sprague S, FLOW Investigators Tags: Clin Orthop Relat Res Source Type: research

Pearls: Removing Modular Metal-on-Metal Liners using a Battery-powered Handheld Impaction System.
PMID: 33577210 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 12, 2021 Category: Orthopaedics Authors: Kaplan N, Neumaier M, Ricciardi BF Tags: Clin Orthop Relat Res Source Type: research

CORR Insights ®: What Are the Frequency, Related Mortality, and Factors Associated with Bone Cement Implantation Syndrome in Arthroplasty Surgery?
CORR Insights®: What Are the Frequency, Related Mortality, and Factors Associated with Bone Cement Implantation Syndrome in Arthroplasty Surgery? Clin Orthop Relat Res. 2021 Feb 10;: Authors: E George N PMID: 33570859 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 10, 2021 Category: Orthopaedics Authors: E George N Tags: Clin Orthop Relat Res Source Type: research

Editorial: In Musculoskeletal Research, Too Many Animals are Being Harmed for Too Small a Return.
PMID: 33565766 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 10, 2021 Category: Orthopaedics Authors: Leopold SS Tags: Clin Orthop Relat Res Source Type: research

Editor's Spotlight/Take 5: How Do Medical Students Perceive Diversity in Orthopaedic Surgery, and How Do Their Perceptions Change After an Orthopaedic Clinical Rotation?
PMID: 33565767 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 10, 2021 Category: Orthopaedics Authors: Leopold SS Tags: Clin Orthop Relat Res Source Type: research

Not the Last Word: Predicting Chaos in the Residency Match.
PMID: 33565768 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 10, 2021 Category: Orthopaedics Authors: Bernstein J Tags: Clin Orthop Relat Res Source Type: research

Cochrane in CORR ®: Tourniquet Use For Knee Replacement Surgery.
Cochrane in CORR®: Tourniquet Use For Knee Replacement Surgery. Clin Orthop Relat Res. 2021 Feb 10;: Authors: Gazendam A, Wood TJ PMID: 33565769 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 10, 2021 Category: Orthopaedics Authors: Gazendam A, Wood TJ Tags: Clin Orthop Relat Res Source Type: research

Custom Implants in TKA Provide No Substantial Benefit in Terms of Outcome Scores, Reoperation Risk, or Mean Alignment: A Systematic Review.
CONCLUSION: With generally poorer outcomes scores for pain and function, generally higher risks of reoperation and reintervention, and no overall benefit to alignment, custom implants for primary TKA for the general population currently appear to be inferior to standard implants. Whether the slight reduction in the proportion of patients with alignment outliers observed in a minority of studies will result in a substantial reduction in revision risk over time must be addressed by future studies. However, until or unless such a reduction is proven, we recommend against the routine use of custom implants in practice because ...
Source: Clinical Orthopaedics and Related Research - February 5, 2021 Category: Orthopaedics Authors: Beit Ner E, Dosani S, Biant LC, Tawy GF Tags: Clin Orthop Relat Res Source Type: research

CORR Insights ®: What Is the Association Among Epiphyseal Rotation, Translation, and the Morphology of the Epiphysis and Metaphysis in Slipped Capital Femoral Epiphysis?
CORR Insights®: What Is the Association Among Epiphyseal Rotation, Translation, and the Morphology of the Epiphysis and Metaphysis in Slipped Capital Femoral Epiphysis? Clin Orthop Relat Res. 2021 Feb 04;: Authors: Millis MB PMID: 33560677 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 4, 2021 Category: Orthopaedics Authors: Millis MB Tags: Clin Orthop Relat Res Source Type: research

CORR Insights ®: Does the Rule of Thirds Adequately Detect Deficient and Excessive Acetabular Coverage?
CORR Insights®: Does the Rule of Thirds Adequately Detect Deficient and Excessive Acetabular Coverage? Clin Orthop Relat Res. 2021 Feb 04;: Authors: Nishii T PMID: 33560678 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 4, 2021 Category: Orthopaedics Authors: Nishii T Tags: Clin Orthop Relat Res Source Type: research

Residency Diary: Third Year-New Year, Different Story.
PMID: 33560679 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 4, 2021 Category: Orthopaedics Authors: LeBrun DG Tags: Clin Orthop Relat Res Source Type: research

CORR Insights ®: How Common Are Civilian Blast Injuries in the National Trauma Databank, and What Are the Most Common Mechanisms and Characteristics of Associated Injuries?
CORR Insights®: How Common Are Civilian Blast Injuries in the National Trauma Databank, and What Are the Most Common Mechanisms and Characteristics of Associated Injuries? Clin Orthop Relat Res. 2021 Feb 04;: Authors: D Lack W PMID: 33560680 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 4, 2021 Category: Orthopaedics Authors: D Lack W Tags: Clin Orthop Relat Res Source Type: research

What Is the Value of Undergoing Surgery for Spinal Metastases at Dedicated Cancer Centers?
Abstract BACKGROUND: The Alliance of Dedicated Cancer Centers is an organization of 11 leading cancer institutions and affiliated hospitals that are exempt from the Medicare prospective system hospital reimbursement policies. Because of their focus on cancer care and participation in innovative cancer treatment methods and protocols, these hospitals are reimbursed based on their actual billings. The perceived lack of incentive to meet a predetermined target price and reduce costs has spurred criticism of the value of cancer care at these institutions. The rationale of our study was to better understand whether ded...
Source: Clinical Orthopaedics and Related Research - February 4, 2021 Category: Orthopaedics Authors: Malik AT, Khan SN, Voskuil RT, Alexander JH, Drain JP, Scharschmidt TJ Tags: Clin Orthop Relat Res Source Type: research

Is the Proportion of Patients with "Successful" Outcomes After Two-stage Revision for Prosthetic Joint Infection Different When Applying the Musculoskeletal Infection Society Outcome Reporting Tool Compared with the Delphi-based Consensus Criteria?
CONCLUSION: The present study demonstrated that the MSIS criteria detect fewer instances of "successful" infection management after two-stage resection arthroplasty for PJI than the Delphi method in this cohort. Based on these findings, researchers and surgeons should aim for standardized reporting after intervention for PJI to allow for a better comparison of outcomes across different studies and ultimately allow for improved techniques and approaches to the treatment of PJI. LEVEL OF EVIDENCE: Level III, diagnostic study. PMID: 33543876 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedic...
Source: Clinical Orthopaedics and Related Research - February 4, 2021 Category: Orthopaedics Authors: Borsinger TM, Pierce DA, Hanson TM, Werth PM, Orem AR, Moschetti WE Tags: Clin Orthop Relat Res Source Type: research