The utility of the Charlson Comorbidity Index and modified Frailty Index as quality indicators in total joint arthroplasty: a retrospective cohort review
Conclusions:
Presurgical evaluation utilizing CCI and MFI may better identify those at risk and encourage modified preoperative counseling for these patients. Further study is needed to determine a risk stratification scheme that allows for more accurate prediction of patients who may require more intense hospital-based postoperative care.
Level of Evidence:
Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Special Focus: Total Joint Arthroplasty Source Type: research
Are asymmetric tibial baseplates superior in primary total knee arthroplasty? A systematic review of clinical studies
Conclusions:
The use of an asymmetric tibial baseplate in primary TKA is a safe and effective option, with the potential for improved component alignment and tibial coverage. However, more evidence is needed to determine if there are significant differences in failure rates and postoperative functional outcomes before justifying the implementation of a new and potentially more costly technology.
Level of Evidence:
Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Special Focus: Total Joint Arthroplasty Source Type: research
Component breakage after total knee arthroplasty: a narrative review
Component breakage is a rare complication after total knee arthroplasty (TKA). Fracture can occur in the metallic components or the polyethylene liner. Polyethylene liner fractures are the most frequent and usually belong to the tibial post because of trauma or excessive rotational forces in malaligned implants. In metallic components, the most frequent pattern is stress-fatigue fracture in the thinner areas, when exposed to greater loads. Specifically, these occur in the junction between the distal and medial surfaces of the medial condyle of the femur or the area between the stem and the medial plateau in the tibial tray...
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Special Focus: Total Joint Arthroplasty Source Type: research
Management of Hip Fractures Among Elderly Patients at Jordan University Hospital: A Cross-sectional Study: Erratum
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Erratum Source Type: research
Osteochondral allograft core transplantation for the treatment of capitellar osteochondritis dissecans: a case report with technical note
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Case Report Source Type: research
Two cases of severe rigid adolescent idiopathic scoliosis treated temporarily with Magec® rod. Is surgical strategy important?
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Case Report Source Type: research
T2 mapping on magnetic resonance imaging to diagnose lateral patellar compression syndrome: a report of two cases
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Case Report Source Type: research
Arthroscopic anterior capsular release for posttraumatic elbow flexion contracture in pediatric patients: a case report of two patients with treatment protocol
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Case Report Source Type: research
Do women experience microaggressions in orthopaedic surgery? Current state and future directions from a survey of women orthopaedists
Conclusions:
Microaggressions are commonly experienced by women in orthopaedics. The most common perpetrators of microaggressions are patients and their families, but other medical and support staff contribute to the environment. Awareness is crucial to address the issue.
Level of Evidence:
Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Education and Practice Management Source Type: research
Confidence gap between men and women in medicine: a systematic review
Conclusions:
Even though women and men do not differ in their clinical performance, women in healthcare fields may perceive deficiencies in their abilities more often than their male counterparts. However, these results are tempered by the fact that the level of evidence of the studies included in the review is low.
Level of Evidence:
Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Education and Practice Management Source Type: research
Orthopaedic implant cost perceptions: a survey of surgeons and healthcare administrators
Conclusions:
This study identified that neither surgeons nor administrators could accurately estimate implant costs. Orthopaedic surgeons appeared more accurate and may be uniquely positioned to interface with administrators. Although our study was limited by a small sample size, it pointed to opportunity for collaboration between surgeons and administrators to better understand implant costs and maximize value.
Level of Evidence:
Level VI. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Education and Practice Management Source Type: research
Preliminary results of reconstruction of proximal humeral bone loss with a reverse total shoulder prosthesis using a modular endoprosthetic reconstruction system: a case series
Conclusions:
Early results show that a RTSA prosthesis using a modular endoprosthetic reconstruction system is a viable option for massive proximal humeral bone loss. Further studies are needed to investigate longevity and longer-term outcomes.
Level of Evidence:
Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research
Utility of conventional radiographs in the detection of traumatic knee arthrotomies: a retrospective cohort review
Conclusions:
Our study suggests that radiographs, which are obtained as standard of care during work-up of knee injuries, have a relatively high sensitivity and specificity and can be used as an adjunct to help diagnose a traumatic arthrotomy of the knee joint.
Level of Evidence:
Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research
A matched-cohort study comparing outpatient total knee arthroplasty in an ambulatory surgery center with inpatient total knee arthroplasty in a hospital
Conclusions:
No significant differences were noted between TKA performed in an ASC and a hospital for major complications or hospital readmissions at 90 days. The average length of stay in the hospital was 2.5 days, however, which might indicate a higher cost than day surgery. Although not statistically significant, the ASC cohort had fewer minor complications than the inpatient cohort. In select patients TKA performed outpatient in an ASC appears to be as effective and safe as that performed in a hospital, with the caveat that some patients may not be candidates. Careful patient selection, preoperative screening and cou...
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research
Effect of medial meniscal posterior horn tears on tibial translation in ACL-intact knees: a case control study based on MRI
Background:
This aim of this study was to determine the relationship between medial meniscal tear and tibial translation in the anterior cruciate ligament (ACL)-intact knees.
Methods:
MRI of 278 patients, ages 18 to 50 yr, with medial meniscus posterior horn tears were evaluated. Two reviewers independently measured lateral and medial anterior tibial translation (ATT). Intraclass correlation coefficient (ICC) analysis was used to compare the results.
Results:
The ICC values of measurements of lateral ATT and medial ATT were 0.995 and 0.998, respectively; these values demonstrated almost perfect agreements. Age sh...
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research
