Impact of a Unit-Based Clinical Pharmacist on Communication of Medication Information in an Orthopedic Hospital
ConclusionResults suggest that a clinical pharmacist assigned to an inpatient unit in orthopedics significantly influences patient perceptions of communication about and understanding of their medications. (Source: HSS Journal)
Source: HSS Journal - February 3, 2020 Category: Orthopaedics Source Type: research

New Strategies in Enhancing Spinal Fusion
This article provides an overview of the basic biology of spinal fusion and strategies for enhancing fusion through innovations in bone graft material. (Source: HSS Journal)
Source: HSS Journal - February 1, 2020 Category: Orthopaedics Source Type: research

Surgeon-Administered Nerve Block During Rotator Cuff Repair Can Promote Recovery with Little or No Post-operative Opioid Use
ConclusionWith this local –regional nerve-blocking protocol, opioid use after ARCR was unexpectedly low, and a large proportion of patients recovered without any post-surgical opioids. The correlation seen between opioid use and age may not be clinically significant, given the low use of post-operative opioids overall. The se results may be useful in guiding post-operative opioid prescribing after ARCR, as well as in lowering costs associated with ARCR. (Source: HSS Journal)
Source: HSS Journal - January 21, 2020 Category: Orthopaedics Source Type: research

Incidence of Surgically Treated Brachial Plexus Injury in Privately Insured Adults Under 65 Years of Age in the USA
ConclusionThe estimated annual incidence of surgically treated BPI is 0.89 per 100,000 persons in the USA, and the incidence has increased over time. These findings can serve as a baseline for further studies of disease epidemiology and societal and financial impact. (Source: HSS Journal)
Source: HSS Journal - January 17, 2020 Category: Orthopaedics Source Type: research

Design Modifications of the Posterior-Stabilized Knee System May Reduce Anterior Knee Pain and Complications Following Total Knee Replacement
ConclusionDesign modifications to improve patellofemoral mechanics demonstrated significant improvements in overall pain and patellofemoral pain and reduced manipulation rates post-operatively. (Source: HSS Journal)
Source: HSS Journal - January 17, 2020 Category: Orthopaedics Source Type: research

Minimally Invasive Spine Lumbar Surgery in Obese Patients: A Systematic Review and Meta-Analysis
ConclusionMI-TLIF has equivalent efficacy to O-TLIF in obese patients at long-term follow-up. In addition, complication rate, blood loss, and length of hospital stay were lower in MI-TLIF than in O-TLIF. (Source: HSS Journal)
Source: HSS Journal - January 17, 2020 Category: Orthopaedics Source Type: research

Awake Endoscopic Transforaminal Lumbar Interbody Fusion: A Technical Note
ConclusionsThe latest technical considerations and adaptations of a novel technique for endoscopic MIS spinal fusion without general anesthesia are described. A refined surgical technique and anesthetic protocol are presented in detail with recommendations for the successful implementation and performance of the procedure. (Source: HSS Journal)
Source: HSS Journal - January 16, 2020 Category: Orthopaedics Source Type: research

Interbody Fusions in the Lumbar Spine: A Review
ConclusionsAll of the approaches to spinal fusion have plusses and minuses that must be considered when determining which to use, and newer-technology implants, such as PEEK with titanium coating, expandable, and 3D-printed cages, have tried to improve upon the limitations of existing grafts but require further study. (Source: HSS Journal)
Source: HSS Journal - January 12, 2020 Category: Orthopaedics Source Type: research

Symptoms of Burnout Among Surgeons Are Correlated with a Higher Incidence of Perceived Medical Errors
ConclusionIt is possible that symptoms of burnout cause surgeons to be more likely to perceive an imperfection as an error or that burnout distracts surgeons, contributing to a greater likelihood of a verifiable error. Additional studies are merited to investigate a potential causal relationship between symptoms of burnout and medical errors. (Source: HSS Journal)
Source: HSS Journal - January 5, 2020 Category: Orthopaedics Source Type: research

Time to Persevere
(Source: HSS Journal)
Source: HSS Journal - January 2, 2020 Category: Orthopaedics Source Type: research

Letter to the Editor, HSS Journal, Volume 15, Issue 3
(Source: HSS Journal)
Source: HSS Journal - January 1, 2020 Category: Orthopaedics Source Type: research

Correction to: Mechanically Induced Periprosthetic Osteolysis: A Systematic Review
Figure 2 and its caption were inadvertently omitted from the original article. The figure and caption are given below. (Source: HSS Journal)
Source: HSS Journal - December 16, 2019 Category: Orthopaedics Source Type: research

Correction to: the Scientific Basis for Modern Physical Therapy
The names of the guest editors of the issue on Rehabilitation and Musculoskeletal Health (October 2019) were omitted. Editor-in-Chief Charles N. Cornell, MD, wishes to acknowledge the contributions of Sherry Backus. (Source: HSS Journal)
Source: HSS Journal - December 16, 2019 Category: Orthopaedics Source Type: research

The Dome Technique, an Option for Massive Anterosuperior Medial Acetabular Bone Loss: A Retrospective Case Series
ConclusionsIn three patients, the dome technique allowed for the anterosuperior column to be recreated by piecing together two porous metal augments to fill the medial bony void and create a stable column for a jumbo cup to be press fit. By recreating the deficient anterosuperior medial bone, the acetabulum can be downsized in a stepwise manner (with further surgery) and reconstructed in a stable fashion. This novel procedure is a unique option for the treatment of this challenging problem. (Source: HSS Journal)
Source: HSS Journal - December 15, 2019 Category: Orthopaedics Source Type: research

Survivorship of a Medialized Glenoid and Lateralized Onlay Humerus Reverse Shoulder Arthroplasty Is High at Midterm Follow-up
ConclusionOverall, survivorship after RSA using a medialized glenoid and lateralized onlay-type humerus RSA is high, and prostheses implanted in native shoulders have lower rates of revision at midterm follow-up. Instability (1.9%) was the most common reason for revision. (Source: HSS Journal)
Source: HSS Journal - December 8, 2019 Category: Orthopaedics Source Type: research