CORR Insights( ®): What Differences in Morphologic Features of the Knee Exist Among Patients of Various Races? A Systematic Review.
CORR Insights(®): What Differences in Morphologic Features of the Knee Exist Among Patients of Various Races? A Systematic Review. Clin Orthop Relat Res. 2016 Oct 28; Authors: Mahoney OM PMID: 27796799 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 28, 2016 Category: Orthopaedics Authors: Mahoney OM Tags: Clin Orthop Relat Res Source Type: research

Is Pes Cavus Alignment Associated With Lisfranc Injuries of the Foot?
CONCLUSIONS: We found that cavus midfoot alignment was more prevalent among patients with Lisfranc injuries than among individuals with no foot injury or disorder. Although this does not suggest that cavus alignment causes or predisposes patients to this injury, we believe the finding is important because this provides a radiographic parameter that clinicians can use to raise their index of suspicion for a Lisfranc injury and aggressively pursue this diagnosis. Future studies would benefit from obtaining contralateral foot imaging at the time of injury in all patients with Lisfranc injury or prospectively following patient...
Source: Clinical Orthopaedics and Related Research - October 28, 2016 Category: Orthopaedics Authors: Podolnick JD, Donovan DS, DeBellis N, Pino A Tags: Clin Orthop Relat Res Source Type: research

The Femoro-Epiphyseal Acetabular Roof (FEAR) Index: A New Measurement Associated With Instability in Borderline Hip Dysplasia?
Abstract BACKGROUND: The definition of osseous instability in radiographic borderline dysplastic hips is difficult. A reliable radiographic tool that aids decision-making-specifically, a tool that might be associated with instability-therefore would be very helpful for this group of patients. QUESTIONS/PURPOSES: (1) To compare a new radiographic measurement, which we call the Femoro-Epiphyseal Acetabular Roof (FEAR) index, with the lateral center-edge angle (LCEA) and acetabular index (AI), with respect to intra- and interobserver reliability; (2) to correlate AI, neck-shaft angle, LCEA, iliocapsularis volume...
Source: Clinical Orthopaedics and Related Research - October 28, 2016 Category: Orthopaedics Authors: Wyatt M, Weidner J, Pfluger D, Beck M Tags: Clin Orthop Relat Res Source Type: research

Patients With Limited Health Literacy Ask Fewer Questions During Office Visits With Hand Surgeons.
Abstract BACKGROUND: In the midst of rapid expansion of medical knowledge and decision-support tools intended to benefit diverse patients, patients with limited health literacy (the ability to obtain, process, and understand information and services to make health decisions) will benefit from asking questions and engaging actively in their own care. But little is known regarding the relationship between health literacy and question-asking behavior during outpatient office visits. QUESTIONS/PURPOSES: (1) Do patients with lower levels of health literacy ask fewer questions in general, and as stratified by types...
Source: Clinical Orthopaedics and Related Research - October 28, 2016 Category: Orthopaedics Authors: Menendez ME, van Hoorn BT, Mackert M, Donovan EE, Chen NC, Ring D Tags: Clin Orthop Relat Res Source Type: research

Residency Diary: The Beginning of My Second Year: July and August 2016.
PMID: 27785669 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 26, 2016 Category: Orthopaedics Authors: Friedman LG Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): A Resident-led Initiative Improves Screening and Treatment for Vitamin D Deficiency in Patients with Hip Fractures.
CORR Insights(®): A Resident-led Initiative Improves Screening and Treatment for Vitamin D Deficiency in Patients with Hip Fractures. Clin Orthop Relat Res. 2016 Oct 26; Authors: Templeton KJ PMID: 27785670 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 26, 2016 Category: Orthopaedics Authors: Templeton KJ Tags: Clin Orthop Relat Res Source Type: research

A Crosswalk Between UCLA and Lower Extremity Activity Scales.
CONCLUSION: We have developed and validated a crosswalk to easily convert UCLA to LEAS scores (and vice versa) for THA and TKA. Reproducing the crosswalk for other lower extremity conditions or surgical procedures may extend its utility to studies assessing activity in patients having these conditions or procedures. PMID: 27785671 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 26, 2016 Category: Orthopaedics Authors: Ghomrawi HM, Lee YY, Herrero C, Joseph A, Padgett D, Westrich G, Parks M, Lyman S Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): Increased Hip Stresses Resulting From a Cam Deformity and Decreased Femoral Neck-Shaft Angle During Level Walking.
CORR Insights(®): Increased Hip Stresses Resulting From a Cam Deformity and Decreased Femoral Neck-Shaft Angle During Level Walking. Clin Orthop Relat Res. 2016 Oct 26; Authors: Anderson AE PMID: 27785672 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 26, 2016 Category: Orthopaedics Authors: Anderson AE Tags: Clin Orthop Relat Res Source Type: research

The Law and Social Values: Medical Uncertainty.
PMID: 27785673 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 26, 2016 Category: Orthopaedics Authors: Teo WZ, Brenner LH, Bal BS Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): Are Recently Trained Tumor Fellows Performing Less Tumor Surgery? An Analysis of 10 Years of the ABOS Part II Database.
CORR Insights(®): Are Recently Trained Tumor Fellows Performing Less Tumor Surgery? An Analysis of 10 Years of the ABOS Part II Database. Clin Orthop Relat Res. 2016 Oct 26; Authors: Schwartz HS PMID: 27785674 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 26, 2016 Category: Orthopaedics Authors: Schwartz HS Tags: Clin Orthop Relat Res Source Type: research

CORR ( ®) International-Asia-Pacific: How To Live a Happy Life as an Orthopaedic Surgeon.
CORR (®) International-Asia-Pacific: How To Live a Happy Life as an Orthopaedic Surgeon. Clin Orthop Relat Res. 2016 Oct 26; Authors: Kim TK PMID: 27785675 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 26, 2016 Category: Orthopaedics Authors: Kim TK Tags: Clin Orthop Relat Res Source Type: research

Lawnmowers Versus Children: The Devastation Continues.
Abstract BACKGROUND: Accidents with lawnmowers can cause mutilating injuries to children. Safety guidelines regarding the use of lawnmowers were promoted by professional organizations beginning in 2001. The Pennsylvania Trauma Systems Foundation maintains a database including all admissions to accredited Levels 1 to 4 trauma centers in the state. The annual rates of admission for children in our state and the severity of injuries subsequent to introduction of safety guidelines have not been reported, to our knowledge. Ride-on lawnmowers have been associated with more severe injuries in children. QUESTIONS/PUR...
Source: Clinical Orthopaedics and Related Research - October 26, 2016 Category: Orthopaedics Authors: Garay M, Hennrikus WL, Hess J, Lehman EB, Armstrong DG Tags: Clin Orthop Relat Res Source Type: research

Erratum to: Universal Health Coverage in Massachusetts Did Not Change the Trajectory of Arthroplasty Use or Costs.
PMID: 27783204 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 25, 2016 Category: Orthopaedics Authors: Kurtz SM, Lau E, Ong KL, Katz JN, Bozic KJ Tags: Clin Orthop Relat Res Source Type: research

Editorial: CORR ( ®) Thanks its Peer Reviewers.
Editorial: CORR (®) Thanks its Peer Reviewers. Clin Orthop Relat Res. 2016 Oct 19; Authors: Leopold SS PMID: 27761782 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 19, 2016 Category: Orthopaedics Authors: Leopold SS Tags: Clin Orthop Relat Res Source Type: research

Erratum to: Osteochondritis Dissecans Lesions in Family Members: Does a Positive Family History Impact Phenotypic Potency?
PMID: 27757802 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 18, 2016 Category: Orthopaedics Authors: Gornitzky AL, Mistovich RJ, Atuahene B, Storey EP, Ganley TJ Tags: Clin Orthop Relat Res Source Type: research

Giants of Orthopaedic Surgery: Austin T. Moore MD.
PMID: 27752987 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 17, 2016 Category: Orthopaedics Authors: Chillag KJ Tags: Clin Orthop Relat Res Source Type: research

What Factors are Associated With Quality Of Life, Pain Interference, Anxiety, and Depression in Patients With Metastatic Bone Disease?
Abstract BACKGROUND: It would be helpful for the decision-making process of patients with metastatic bone disease to understand which patients are at risk for worse quality of life (QOL), pain, anxiety, and depression. Normative data, and where these stand compared with general population scores, can be useful to compare and interpret results of similar patients or patient groups, but to our knowledge, there are no such robust data. QUESTIONS/PURPOSES: We wished (1) to assess what factors are independently associated with QOL, pain interference, anxiety, and depression in patients with metastatic bone disease...
Source: Clinical Orthopaedics and Related Research - October 17, 2016 Category: Orthopaedics Authors: van der Vliet QM, Paulino Pereira NR, Janssen SJ, Hornicek FJ, Ferrone ML, Bramer JA, van Dijk CN, Schwab JH Tags: Clin Orthop Relat Res Source Type: research

Femoral Morphology in the Dysplastic Hip: Three-dimensional Characterizations With CT.
CONCLUSIONS: In this subset of dysplastic hips, cam deformity of the femoral head and neck was present in 42% of hips with maximal head-neck deformity at 2 o'clock, and 82% had reduced head-neck offset at the 1:30 point. We conclude that cam-type deformities and decreased head-neck offset in developmental dysplasia of the hip are common. Patients should be closely assessed for need of a head and neck osteochondroplasty, especially after acetabular correction. Future prospective studies should evaluate the influence of proximal femoral anatomy on surgical results of PAO for dysplastic hips. LEVEL OF EVIDENCE: Level IV,...
Source: Clinical Orthopaedics and Related Research - October 17, 2016 Category: Orthopaedics Authors: Wells J, Nepple JJ, Crook K, Ross JR, Bedi A, Schoenecker P, Clohisy JC Tags: Clin Orthop Relat Res Source Type: research

Labral Reattachment in Femoroacetabular Impingement Surgery Results in Increased 10-year Survivorship Compared With Resection.
Abstract BACKGROUND: Since the importance of an intact labrum for normal hip function has been shown, labral reattachment has become the standard method for open or arthroscopic treatment of hips with femoroacetabular impingement (FAI). However, no long-term clinical results exist evaluating the effect of labral reattachment. A 2-year followup comparing open surgical treatment of FAI with labral resection versus reattachment was previously performed at our clinic. The goal of this study was to report a concise followup of these patients at a minimum of 10 years. QUESTIONS/PURPOSES: We asked if patients underg...
Source: Clinical Orthopaedics and Related Research - October 15, 2016 Category: Orthopaedics Authors: Anwander H, Siebenrock KA, Tannast M, Steppacher SD Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): Stretching After Heat But Not After Cold Decreases Contractures After Spinal Cord Injury in Rats.
CORR Insights(®): Stretching After Heat But Not After Cold Decreases Contractures After Spinal Cord Injury in Rats. Clin Orthop Relat Res. 2016 Oct 14; Authors: Laneuville O PMID: 27743303 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 14, 2016 Category: Orthopaedics Authors: Laneuville O Tags: Clin Orthop Relat Res Source Type: research

No Decrease in Knee Survivorship or Outcomes Scores for Patients With HIV Infection Who Undergo TKA.
CONCLUSIONS: With the numbers available, we found that patients with HIV had no differences in clinical scores and implant survivorship compared with patients without the disease at mid-term followup. We believe practitioners should not be reluctant to perform TKA on this patient population. However, we believe the preoperative optimization process is crucial to achieving good outcomes and minimizing the risk of complications. Future comparative studies should have longer followup and a larger sample size with greater power to determine if there are differences in complications and implant survivorship. LEVEL OF EVIDE...
Source: Clinical Orthopaedics and Related Research - October 14, 2016 Category: Orthopaedics Authors: Issa K, Pierce TP, Harwin SF, Scillia AJ, Festa A, Mont MA Tags: Clin Orthop Relat Res Source Type: research

Erratum to: What Change in American Shoulder and Elbow Surgeons Score Represents a Clinically Important Change After Shoulder Arthroplasty?
PMID: 27738891 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 13, 2016 Category: Orthopaedics Authors: Werner BC, Chang B, Nguyen JT, Dines DM, Gulotta LV Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): What Factors are Associated With Clinically Important Improvement After Shoulder Hemiarthroplasty for Cuff Tear Arthropathy?
CORR Insights(®): What Factors are Associated With Clinically Important Improvement After Shoulder Hemiarthroplasty for Cuff Tear Arthropathy? Clin Orthop Relat Res. 2016 Oct 13; Authors: Parsons M PMID: 27738892 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 13, 2016 Category: Orthopaedics Authors: Parsons M Tags: Clin Orthop Relat Res Source Type: research

Not the Last Word: Ending The Residency Application Arms Race-Starting with the USMLE.
PMID: 27730419 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 11, 2016 Category: Orthopaedics Authors: Bernstein J Tags: Clin Orthop Relat Res Source Type: research

What Are the Risk Factors for Revision Surgery After Hip Arthroscopy for Femoroacetabular Impingement at 7-year Followup?
r L Abstract BACKGROUND: In recent years, surgical treatment of symptomatic femoroacetabular impingement (FAI) has been increasingly performed using arthroscopy. Bony pathomorphologies and damage to the labrum as well as cartilage defects can be addressed with comparable results to open surgery with overall less surgery-related complications. Despite the increasing importance of hip arthroscopy, however, reports on midterm clinical and radiographic outcomes and comparison to open surgical hip dislocation are scarce. QUESTIONS/PURPOSES: (1) What are the clinical and radiographic outcomes at a mean 7-year follo...
Source: Clinical Orthopaedics and Related Research - October 7, 2016 Category: Orthopaedics Authors: Haefeli PC, Albers CE, Steppacher SD, Tannast M, Büchler L Tags: Clin Orthop Relat Res Source Type: research

Thank You CORR ( ®) Peer Reviewers.
Thank You CORR (®) Peer Reviewers. Clin Orthop Relat Res. 2016 Oct 7;: Authors: PMID: 27718122 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 7, 2016 Category: Orthopaedics Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): Are Biopsy Tracts a Concern for Seeding and Local Recurrence in Sarcomas?
CORR Insights(®): Are Biopsy Tracts a Concern for Seeding and Local Recurrence in Sarcomas? Clin Orthop Relat Res. 2016 Oct 6;: Authors: Ghert M PMID: 27714623 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 6, 2016 Category: Orthopaedics Authors: Ghert M Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): Operative Fluoroscopic Correction Is Reliable and Correlates With Postoperative Radiographic Correction in Periacetabular Osteotomy.
CORR Insights(®): Operative Fluoroscopic Correction Is Reliable and Correlates With Postoperative Radiographic Correction in Periacetabular Osteotomy. Clin Orthop Relat Res. 2016 Oct 6;: Authors: Pitto RP PMID: 27714624 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 6, 2016 Category: Orthopaedics Authors: Pitto RP Tags: Clin Orthop Relat Res Source Type: research

Residency Diary: The Beginning of My Second Year: June and July 2016.
PMID: 27709419 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 5, 2016 Category: Orthopaedics Authors: Friedman LG Tags: Clin Orthop Relat Res Source Type: research

Cochrane in CORR ( ®): Topical Application of Tranexamic Acid for the Reduction of Bleeding (Review).
Cochrane in CORR (®): Topical Application of Tranexamic Acid for the Reduction of Bleeding (Review). Clin Orthop Relat Res. 2016 Oct 5;: Authors: Evaniew N, Bhandari M PMID: 27709420 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 5, 2016 Category: Orthopaedics Authors: Evaniew N, Bhandari M Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): Are PEEK-on-Ceramic Bearings an Option for Total Disc Arthroplasty? An In Vitro Tribology Study.
CORR Insights(®): Are PEEK-on-Ceramic Bearings an Option for Total Disc Arthroplasty? An In Vitro Tribology Study. Clin Orthop Relat Res. 2016 Oct 5;: Authors: Ebramzadeh E PMID: 27709421 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - October 5, 2016 Category: Orthopaedics Authors: Ebramzadeh E Tags: Clin Orthop Relat Res Source Type: research

How Does the dGEMRIC Index Change After Surgical Treatment for FAI? A Prospective Controlled Study: Preliminary Results.
Abstract BACKGROUND: Delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) allows an objective, noninvasive, and longitudinal quantification of biochemical cartilage properties. Although dGEMRIC has been used to monitor the course of cartilage degeneration after periacetabular osteotomy (PAO) for correction of hip dysplasia, such longitudinal data are currently lacking for femoroacetabular impingement (FAI). QUESTIONS/PURPOSES: (1) How does the mean acetabular and femoral dGEMRIC index change after surgery for FAI at 1-year followup compared with a similar group of patients with FAI treated without surgery? ...
Source: Clinical Orthopaedics and Related Research - October 5, 2016 Category: Orthopaedics Authors: Schmaranzer F, Haefeli PC, Hanke MS, Liechti EF, Werlen SF, Siebenrock KA, Tannast M Tags: Clin Orthop Relat Res Source Type: research

What Differences in Morphologic Features of the Knee Exist Among Patients of Various Races? A Systematic Review.
Abstract BACKGROUND: Most TKA prostheses are designed based on the anatomy of white patients. Individual studies have identified key anthropometric differences between the knees of the white population and other major ethnic groups, yet there is limited understanding of what these findings may indicate if analyzed collectively. QUESTION/PURPOSE: What are the differences in morphologic features of the distal femur and proximal tibia among and within various ethnicities? METHODS: A systematic review of the PubMed database and a hand-search of article bibliographies identified 235 potentially eligible Engli...
Source: Clinical Orthopaedics and Related Research - October 4, 2016 Category: Orthopaedics Authors: Kim TK, Phillips M, Bhandari M, Watson J, Malhotra R Tags: Clin Orthop Relat Res Source Type: research

Your Best Life: Breaking the Cycle: The Power of Gratitude.
PMID: 27687488 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 29, 2016 Category: Orthopaedics Authors: Kelly JD Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): Osteochondritis Dissecans Lesions in Family Members: Does a Positive Family History Impact Phenotypic Potency?
CORR Insights(®): Osteochondritis Dissecans Lesions in Family Members: Does a Positive Family History Impact Phenotypic Potency? Clin Orthop Relat Res. 2016 Sep 29; Authors: Reinker KA PMID: 27687489 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 29, 2016 Category: Orthopaedics Authors: Reinker KA Tags: Clin Orthop Relat Res Source Type: research

CORR ( ®) International-Asia-Pacific: Making the Transition From Training to Practice: A Guide For Young Surgeons in the Asia-Pacific Region.
CORR (®) International-Asia-Pacific: Making the Transition From Training to Practice: A Guide For Young Surgeons in the Asia-Pacific Region. Clin Orthop Relat Res. 2016 Sep 29; Authors: Kim TK PMID: 27687490 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 29, 2016 Category: Orthopaedics Authors: Kim TK Tags: Clin Orthop Relat Res Source Type: research

Letter to the Editor: New Definition for Periprosthetic Joint Infection: From the Workgroup of the Musculoskeletal Infection Society.
PMID: 27687491 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 29, 2016 Category: Orthopaedics Authors: Metsemakers WJ, Moriarty TF, Morgenstern M, Kuehl R, Borens O, Kates S, Richards RG, Verhofstad M Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study.
CORR Insights(®): What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study. Clin Orthop Relat Res. 2016 Sep 28; Authors: Mayr E PMID: 27682632 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 28, 2016 Category: Orthopaedics Authors: Mayr E Tags: Clin Orthop Relat Res Source Type: research

Are PEEK-on-Ceramic Bearings an Option for Total Disc Arthroplasty? An In Vitro Tribology Study.
Abstract BACKGROUND: Most contemporary total disc replacements (TDRs) use conventional orthopaedic bearing couples such as ultrahigh-molecular-weight polyethylene (polyethylene) and cobalt-chromium (CoCr). Cervical total disc replacements incorporating polyetheretherketone (PEEK) bearings (specifically PEEK-on-PEEK bearings) have been previously investigated, but little is known about PEEK-on-ceramic bearings for TDR. QUESTIONS/PURPOSES: (1) What is the tribologic behavior of a PEEK-on-ceramic bearing for cervical TDR under idealized, clean wear test conditions? (2) How does the PEEK-on-ceramic design perform...
Source: Clinical Orthopaedics and Related Research - September 27, 2016 Category: Orthopaedics Authors: Siskey R, Ciccarelli L, Lui MK, Kurtz SM Tags: Clin Orthop Relat Res Source Type: research

Nonmodular Tapered Fluted Titanium Stems Osseointegrate Reliably at Short Term in Revision THAs.
Abstract BACKGROUND: The ideal femoral component for revision THA is undecided. Cylindrical nonmodular stems have been associated with stress shielding, whereas junctional fractures have been reported with tapered fluted modular titanium stems. We have used a tapered fluted nonmodular titanium femoral component (Wagner Self-locking [SL] femoral stem) to mitigate this risk. This component has been used extensively in Europe by its designer surgeons, but to our knowledge, it has not been studied in North America. Added to this, the design of the component has changed since early reports. QUESTIONS/PURPOSES: We ...
Source: Clinical Orthopaedics and Related Research - September 26, 2016 Category: Orthopaedics Authors: Sandiford NA, Garbuz DS, Masri BA, Duncan CP Tags: Clin Orthop Relat Res Source Type: research

What is the Diagnostic Accuracy of Aspirations Performed on Hips With Antibiotic Cement Spacers?
Abstract BACKGROUND: Periprosthetic joint infection is a serious complication after THA and commonly is treated with a two-stage revision. Antibiotic-eluting cement spacers are placed for local delivery of antibiotics. Aspirations may be performed before the second-stage reimplantation for identification of persistent infection. However, limited data exist regarding the diagnostic parameters of synovial fluid aspiration with or without saline lavage from a hip with an antibiotic-loaded cement spacer. QUESTIONS/PURPOSES: We asked: (1) For hips with antibiotic cement spacers, does saline lavage influence the di...
Source: Clinical Orthopaedics and Related Research - September 26, 2016 Category: Orthopaedics Authors: Newman JM, George J, Klika AK, Hatem SF, Barsoum WK, Trevor North W, Higuera CA Tags: Clin Orthop Relat Res Source Type: research

A Day at the Office: Political Advocacy and Private Practice.
PMID: 27655182 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 21, 2016 Category: Orthopaedics Authors: Lundy DW Tags: Clin Orthop Relat Res Source Type: research

Are Biopsy Tracts a Concern for Seeding and Local Recurrence in Sarcomas?
Abstract BACKGROUND: A biopsy is the final step in the diagnosis of sarcomas. Complete resection of the biopsy tract traditionally has been recommended in musculoskeletal oncology guidelines, as that tract is considered potentially seeded with tumor cells. However, to our knowledge, the frequency and implications of contamination of the biopsy tract-specifically with respect to the likelihood of local recurrence-and the factors that affect cell seeding are not well described. QUESTIONS/PURPOSES: We asked: (1) How often are biopsy tracts contaminated with pathologically detectable tumor cells at the time of tu...
Source: Clinical Orthopaedics and Related Research - September 21, 2016 Category: Orthopaedics Authors: Barrientos-Ruiz I, Ortiz-Cruz EJ, Serrano-Montilla J, Bernabeu-Taboada D, Pozo-Kreilinger JJ Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): What MRI Findings Predict Failure 10 Years After Surgery for Femoroacetabular Impingement?
CORR Insights(®): What MRI Findings Predict Failure 10 Years After Surgery for Femoroacetabular Impingement? Clin Orthop Relat Res. 2016 Sep 20; Authors: Sierra RJ PMID: 27650991 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 20, 2016 Category: Orthopaedics Authors: Sierra RJ Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): Do Patients Taking Warfarin Experience Delays to Theatre, Longer Hospital Stay, and Poorer Survival After Hip Fracture?
CORR Insights(®): Do Patients Taking Warfarin Experience Delays to Theatre, Longer Hospital Stay, and Poorer Survival After Hip Fracture? Clin Orthop Relat Res. 2016 Sep 20; Authors: Zelle BA PMID: 27650992 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 20, 2016 Category: Orthopaedics Authors: Zelle BA Tags: Clin Orthop Relat Res Source Type: research

Iatrogenic Hip Instability Is a Devastating Complication After the Modified Dunn Procedure for Severe Slipped Capital Femoral Epiphysis.
CONCLUSIONS: Anterolateral hip instability after the modified Dunn procedure for severe, chronic SCFE is an uncommon yet potentially devastating complication. Future studies might evaluate the effectiveness of maintaining anterior hip precautions for several weeks postoperatively in an abduction brace or broomstick cast to prevent this complication. LEVEL OF EVIDENCE: Level IV, therapeutic study. PMID: 27650993 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 20, 2016 Category: Orthopaedics Authors: Upasani VV, Birke O, Klingele KE, Millis MB, International SCFE Study Group Tags: Clin Orthop Relat Res Source Type: research

CORR Insights( ®): Acetabular Wall Indices Help to Distinguish Acetabular Coverage in Asymptomatic Adults with Varying Morphologies.
CORR Insights(®): Acetabular Wall Indices Help to Distinguish Acetabular Coverage in Asymptomatic Adults with Varying Morphologies. Clin Orthop Relat Res. 2016 Sep 20; Authors: Piuzzi NS PMID: 27650994 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 20, 2016 Category: Orthopaedics Authors: Piuzzi NS Tags: Clin Orthop Relat Res Source Type: research

Editorial Comment: 2016 Knee Society Proceedings.
PMID: 27646417 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 19, 2016 Category: Orthopaedics Authors: Backstein DJ Tags: Clin Orthop Relat Res Source Type: research

Do Radiographic Parameters of Dysplasia Improve to Normal Ranges After Bernese Periacetabular Osteotomy?
Abstract BACKGROUND: The goal of periacetabular osteotomy (PAO) is to improve the insufficient coverage of the femoral head and achieve joint stability without creating secondary femoroacetabular impingement. However, the complex tridimensional morphology of the dysplastic acetabulum presents a challenge to restoration of normal radiographic parameters. Accurate acetabular correction is important to achieve long-term function and pain improvement. There are limited data about the proportion of patients who have normal radiographic parameters restored after PAO and the factors associated with under- and overcorrect...
Source: Clinical Orthopaedics and Related Research - September 19, 2016 Category: Orthopaedics Authors: Novais EN, Duncan S, Nepple J, Pashos G, Schoenecker PL, Clohisy JC Tags: Clin Orthop Relat Res Source Type: research

Classifications in Brief: Rockwood Classification of Acromioclavicular Joint Separations.
PMID: 27637619 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - September 16, 2016 Category: Orthopaedics Authors: Gorbaty JD, Hsu JE, Gee AO Tags: Clin Orthop Relat Res Source Type: research