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How Much Bullying and Discrimination Are Reported by Sexual and Gender Minorities in Orthopaedics?
CONCLUSION: Most LGBTQ+ orthopaedic trainees and professionals are out in their workplaces, although they report experiencing discrimination and bullying more than do non-LGBTQ+ individuals. Bullying and discrimination can deter individuals from beginning and completing their training in orthopaedic surgery. We recommend that orthopaedic institutions not only enforce existing antidiscrimination legal mandates but also increase the visibility of LGBTQ+ faculty and residents. This effort should include the implementation of diversity and sensitivity training programs, strengthened by a structured process of monitoring, repor...
Source: Clinical Orthopaedics and Related Research - February 28, 2024 Category: Orthopaedics Authors: Yogesh Kumaran Jaime Bellamy Ryann Maciejewski Kirsten Tulchin-Francis Julie Balch Samora Source Type: research

High Expectations Among Patients Who Have Undergone TKA Do Not Correlate With Satisfaction
CONCLUSION: Preoperative expectations were not correlated with postoperative satisfaction or PROMs. Surgeons should be aware that patients have high expectations. However, these expectations appear to be less relevant in determining postoperative satisfaction.LEVEL OF EVIDENCE: Level III, therapeutic study.PMID:38416118 | DOI:10.1097/CORR.0000000000003010 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 28, 2024 Category: Orthopaedics Authors: Nicole Vogel Raphael Kaelin Thomas Rychen S éverin Wendelspiess Magdalena M üller-Gerbl Markus P Arnold Source Type: research

CORRelations Update: Fractures & amp; Trauma
Clin Orthop Relat Res. 2024 Feb 28. doi: 10.1097/CORR.0000000000003029. Online ahead of print.NO ABSTRACTPMID:38416403 | DOI:10.1097/CORR.0000000000003029 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 28, 2024 Category: Orthopaedics Source Type: research

Behind the Mask: Was I Really That Bad?
Clin Orthop Relat Res. 2024 Feb 28. doi: 10.1097/CORR.0000000000003025. Online ahead of print.NO ABSTRACTPMID:38416418 | DOI:10.1097/CORR.0000000000003025 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 28, 2024 Category: Orthopaedics Authors: Steven E Zhang Source Type: research

CORR Insights ®: What Are the Underlying Mental Health Constructs Associated With Level of Capability in People With Knee and Hip Osteoarthritis?
Clin Orthop Relat Res. 2024 Feb 28. doi: 10.1097/CORR.0000000000003023. Online ahead of print.NO ABSTRACTPMID:38416421 | DOI:10.1097/CORR.0000000000003023 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 28, 2024 Category: Orthopaedics Authors: Bryan Yijia Tan Source Type: research

Reply to Letter to the Editor: Does "Hoarding" Impact Interview Distribution Among Orthopaedic Surgery Residency Applicants? A Modeling Study Based on a Large Database
Clin Orthop Relat Res. 2024 Feb 28. doi: 10.1097/CORR.0000000000003028. Online ahead of print.NO ABSTRACTPMID:38416512 | DOI:10.1097/CORR.0000000000003028 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 28, 2024 Category: Orthopaedics Authors: Catherine E T Hutchison Kenneth R Gundle Source Type: research

Editorial Comment: The Third Annual I-MESH Symposium
Clin Orthop Relat Res. 2024 Feb 27. doi: 10.1097/CORR.0000000000003012. Online ahead of print.NO ABSTRACTPMID:38411222 | DOI:10.1097/CORR.0000000000003012 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 27, 2024 Category: Orthopaedics Authors: David Ring Ana-Maria Vranceanu Source Type: research

Do Women and Minority Orthopaedic Residents Report Experiencing Worse Well-being and More Mistreatment Than Their Peers?
CONCLUSION: Although we did not detect meaningful differences in some measures of well-being, we identified that women report experiencing more emotional exhaustion and report stereotype threat regarding their identity as women surgeons. Women and URiO residents report more mistreatment than their peers, and women have more thoughts of leaving residency than men. These findings raise concern about some aspects of the training environment for women and URiO residents that could contribute to attrition during training.CLINICAL RELEVANCE: Understanding how well-being and mistreatment affect underrepresented residents helps in...
Source: Clinical Orthopaedics and Related Research - February 27, 2024 Category: Orthopaedics Authors: Katherine M Gerull Sandra E Klein Anna N Miller Cara A Cipriano Source Type: research

Hip Arthroscopy Improves Sexual Function in Receptive Partners with Femoroacetabular Impingement Syndrome
CONCLUSION: Hip pain secondary to FAI interferes with sexual relations, particularly for partners who participate in the receptive role. Postoperatively, both patients participating in receptive and penetrative intercourse resumed sexual intercourse at a median of 6 weeks. After hip arthroscopy, the greatest improvement in pain was seen in receptive partners during sexual positions that involved more hip flexion and abduction. Despite this improvement, most patients, regardless of sexual role assumed, reported some degree of residual pain. Patients planning to undergo arthroscopic surgery for FAI, particularly those who pa...
Source: Clinical Orthopaedics and Related Research - February 27, 2024 Category: Orthopaedics Authors: Nicole D Rynecki Matthew T Kingery Brittany DeClouette Michael Buldo-Licciardi Taylor Jazrawi Jordan Eskenazi Rae Lan Thomas Youm Source Type: research

Who Benefits From Hip Arthroplasty or Knee Arthroplasty? Preoperative Patient-reported Outcome Thresholds Predict Meaningful Improvement
CONCLUSION: We found that patients who experienced meaningful improvements (MCIDs) mainly differed from those who did not regarding their preoperative PROM scores. We further identified that patients undergoing HA or KA with a score above 0.7 or 0.6, respectively, on the EQ-5D-5L, below 42 or 39 on the HOOS-PS or KOOS-PS, or below 3.5 or 6.5 on a 10-point joint-specific pain scale presurgery had no meaningful benefit from surgery. The thresholds can support clinical decision-making. For example, when thresholds indicate that a meaningful improvement is not likely to be achieved after surgery, other treatment options may be...
Source: Clinical Orthopaedics and Related Research - February 23, 2024 Category: Orthopaedics Authors: Benedikt Langenberger Viktoria Steinbeck Reinhard Busse Source Type: research

Are There Racial and Ethnic Variations in Patient Attitudes Toward Hip and Knee Arthroplasty for Osteoarthritis? A Systematic Review
CONCLUSION: The observation that lower preference for discretionary arthroplasty among Black and Hispanic patients is independent from socioeconomic factors and is related to accommodation of aging, preference for agency (home remedies), greater consideration of costs, recovery concerns, and potential harms directs orthopaedic surgeons to find ways to balance equitable access to specialty care and discretionary surgery while avoiding undermining effective accommodation strategies. It is important not to assume that lower use of discretionary surgery represents poorer care or is a surrogate marker for discrimination.LEVEL O...
Source: Clinical Orthopaedics and Related Research - February 23, 2024 Category: Orthopaedics Authors: Yaw Adu Jack Hurley David Ring Source Type: research

Retraction Notice. No Difference Between One-shot Co-injection of Corticosteroids and Hyaluronic Acid in a Three-injection Regimen for Knee Osteoarthritis: A Randomized, Double-blind Trial
Clin Orthop Relat Res. 2024 Feb 14. doi: 10.1097/CORR.0000000000002997. Online ahead of print.NO ABSTRACTPMID:38393956 | DOI:10.1097/CORR.0000000000002997 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 23, 2024 Category: Orthopaedics Authors: Ru-Lan Hsieh Wen-Chung Lee Source Type: research

What Are the Underlying Mental Health Constructs Associated With Level of Capability in People with Knee and Hip Osteoarthritis?
CONCLUSION: This study simplifies the multitude of mental health assessments into two underlying factors: cognition (pain coping) and feelings (mood). When considered together, the association between capability and pain coping was dominant, signaling the importance of a mental health assessment in orthopaedic care to go beyond focusing on unhelpful feelings and mood (assessment of depression and anxiety) alone to include measures of pain coping, such as the Pain Catastrophizing Scale or Tampa Scale for Kinesiophobia, both of which have been used extensively in patients with musculoskeletal conditions.LEVEL OF EVIDENCE: Le...
Source: Clinical Orthopaedics and Related Research - February 23, 2024 Category: Orthopaedics Authors: Prakash Jayakumar Tom J Crijns Will Misciagna Olivia Manickas-Hill Morven Malay William Jiranek Richard C Mather Trevor A Lentz Source Type: research

Erratum to: Reoperation Rates of Microendoscopic Discectomy Compared With Conventional Open Lumbar Discectomy: A Large-database Study
Clin Orthop Relat Res. 2024 Feb 14. doi: 10.1097/CORR.0000000000002982. Online ahead of print.NO ABSTRACTPMID:38393973 | DOI:10.1097/CORR.0000000000002982 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 23, 2024 Category: Orthopaedics Authors: Soichiro Masuda Toshiki Fukasawa Masato Takeuchi Shunsuke Fujibayashi Bungo Otsuki Koichi Murata Takayoshi Shimizu Shuichi Matsuda Koji Kawakami Source Type: research

Erratum to: Reoperation Rates of Microendoscopic Discectomy Compared With Conventional Open Lumbar Discectomy: A Large-database Study
Clin Orthop Relat Res. 2024 Mar 1;482(3):569. doi: 10.1097/CORR.0000000000002982. Epub 2024 Feb 14.NO ABSTRACTPMID:38394447 | PMC:PMC10871782 | DOI:10.1097/CORR.0000000000002982 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - February 23, 2024 Category: Orthopaedics Authors: Soichiro Masuda Toshiki Fukasawa Masato Takeuchi Shunsuke Fujibayashi Bungo Otsuki Koichi Murata Takayoshi Shimizu Shuichi Matsuda Koji Kawakami Source Type: research