Clinical Practice Guidelines on Ordering Echocardiography Before Hip Fracture Repair Perform Differently from One Another
ConclusionsIn patients requiring fixation of osteoporotic hip fractures, TTE can be useful for identifying pathologies that could directly change peri-operative management. Our data suggest that established CPGs can be safely used to identify which patients should undergo pre-operative TTE with low risk of missed pathology. (Source: HSS Journal)
Source: HSS Journal - June 7, 2020 Category: Orthopaedics Source Type: research
Recurrent Complement-Mediated Thrombotic Microangiopathy in a Patient with Systemic Lupus Erythematosus
(Source: HSS Journal)
Source: HSS Journal - May 28, 2020 Category: Orthopaedics Source Type: research
The Clavicle Continues to Grow During Adolescence and Early Adulthood
ConclusionWe found substantial clavicular growth potential after age 18 years, when growth is thought to be nearly finished, as well as remodeling potential even up to age 25 years. Further research is needed, but our findings suggest that strategies for managing clavicle fracture in adults may not be applied universally to adolescents and young adults. (Source: HSS Journal)
Source: HSS Journal - April 25, 2020 Category: Orthopaedics Source Type: research
Reporting Clinical Significance in Hip Arthroscopy: Where Are We Now?
ConclusionsNearly all studies evaluated met MCID, while fewer met SCB. Only half discussed these clinical measures. It is proposed that all future studies report both statistical and clinical significance as standard best practice. (Source: HSS Journal)
Source: HSS Journal - April 11, 2020 Category: Orthopaedics Source Type: research
Prevalence and Treatment Outcomes of Hand and Wrist Injuries in Professional Athletes: A Systematic Review
ConclusionsBased on the available evidence, a large majority of hand and wrist injuries in professional athletes are treated conservatively. Athletes frequently return to preinjury levels of performance after surgery. Additionally, return to play after a hand injury appears to be faster than that after other bony injuries. Further research is needed into the impact of these injuries on athletic performance, as well as how surgical intervention affects validated patient-reported outcome measures in professional athletes. (Source: HSS Journal)
Source: HSS Journal - April 7, 2020 Category: Orthopaedics Source Type: research
Permanent Spacers Are a Reliable Solution for Peri-prosthetic Shoulder Infection: A Systematic Review
ConclusionThe use of a permanent cement spacer is a reliable solution to PSI in low-demand, older patients with comorbidities, a population in whom it is desirable to avoid additional surgery. Our review found a high rate of infection eradication and moderate-to-good objective and subjective results. However, the overall level of evidence of included studies was very low, and higher-quality studies are needed to clarify the role of permanent spacers in the treatment of PSI. (Source: HSS Journal)
Source: HSS Journal - April 7, 2020 Category: Orthopaedics Source Type: research
Misclassification of Case –Control Studies in the Orthopedic Literature Is Common: A Bibliometric Analysis
ConclusionsStudies reported in the orthopedic literature to have a case –control design frequently have another study design, and this pattern is consistent across subspecialties. Enhanced rigor in accurately defining study designs in orthopedics could be achieved through training and stricter review processes. (Source: HSS Journal)
Source: HSS Journal - March 29, 2020 Category: Orthopaedics Source Type: research
Lateral Lumbar Interbody Fusion: What Is the Evidence of Indirect Neural Decompression? A Systematic Review of the Literature
ConclusionClinical results indicate LLIF as an efficient technique in indirect neural decompression. Analysis of radiological data demonstrates the effectiveness of symmetrical foraminal decompression. Data regarding indirect decompression of central canal and lateral recess are inconclusive and contradictory. Bony stenosis appears as an absolute contraindication. The role of facet joint degeneration is unclear. This systematic review provides a reference for surgeons to define the potential and limitations of LLIF in indirect neural elements decompression. (Source: HSS Journal)
Source: HSS Journal - March 19, 2020 Category: Orthopaedics Source Type: research
Current Concepts in Spinal Fusion: A Special Issue
(Source: HSS Journal)
Source: HSS Journal - March 17, 2020 Category: Orthopaedics Source Type: research
The Advances in the Science and Clinical Practice of Spinal Fusion Are Real
(Source: HSS Journal)
Source: HSS Journal - March 9, 2020 Category: Orthopaedics Source Type: research
History of Spinal Fusion: Where We Came from and Where We Are Going
This article tracks this technological growth so that surgeons may better serve their patients in treating spine-related pain and disability. (Source: HSS Journal)
Source: HSS Journal - February 24, 2020 Category: Orthopaedics Source Type: research
Monitoring Patient Recovery After THA or TKA Using Mobile Technology
ConclusionAssessing large amounts of post-TKA and post-THA step data using mobile technology is feasible. Completion rates were good, making the technology very useful for collecting frequent PROMs. Being unable to ensure that patients always carried their phones limited our analysis of the step counts. (Source: HSS Journal)
Source: HSS Journal - February 11, 2020 Category: Orthopaedics Source Type: research
The Importance of Surface Technology in Spinal Fusion
(Source: HSS Journal)
Source: HSS Journal - February 11, 2020 Category: Orthopaedics Source Type: research
Etiology of Lumbosacral Radiculoplexopathy: Sacral Insufficiency Fracture on Magnetic Resonance Imaging
ConclusionsLSRP caused by SIF is an entity all radiologists should be cognizant of, especially in cases of otherwise unexplained radicular symptoms. The diagnosis of SIF can be helpful in cases involving concomitant multilevel lumbar spondylosis and neural foraminal stenosis. (Source: HSS Journal)
Source: HSS Journal - February 5, 2020 Category: Orthopaedics Source Type: research
Advances in Spinal Fusion Strategies in Adult Deformity Surgery
ConclusionsMany recent innovations in treatments to enhance fusion in ADS have been studied, some more controversial than others. Further research into the efficacy of these techniques may increase fusion rates in ADS. (Source: HSS Journal)
Source: HSS Journal - February 3, 2020 Category: Orthopaedics Source Type: research
