Orthopedic Surgery Residency Application Process in 2020 - Has Diversity been Affected?
Iowa Orthop J. 2021;41(1):1-4.ABSTRACTBACKGROUND: Orthopedic surgery is currently the least diverse field in medicine. COVID-19 necessitated a virtual rotation and interview process for orthopedic residency applications in 2020. Given the pressing need to address disparities within the field, any change in the application process should be examined with regard to the potential effects it could have on the diversity of trainees in orthopedic surgery. The purpose of this study was to evaluate the effect of virtual rotations and interviews on the demographic distribution of applicants to orthopedic surgery residency.METHODS: ...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Lindsey S Caldwell Ericka A Lawler Source Type: research

Identifying Barriers: Current Breastfeeding Policy in Orthopedic Surgery Residency
CONCLUSION: Scarce information is available to prospective orthopedic surgery residents regarding breast-feeding policies and available lactation facilities. Only 2.8% of current programs have website information discussing breastfeeding support. Ensuring available breastfeeding support for female orthopedic surgeon trainees and the transparency of these policies by orthopedic departments could contribute to an improved perception of childbearing during residency.Level of Evidence: IV.PMID:34552396 | PMC:PMC8259184 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Malynda Wynn Lindsey Caldwell Heather Kowalski Ericka Lawler Source Type: research

Resist the Rise of Irrelevant Outcome Measures in Clinical Research
Iowa Orthop J. 2021;41(1):11-12.NO ABSTRACTPMID:34552397 | PMC:PMC8259178 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Benjamin J Miller Source Type: research

Social Media Utilization Trends in Orthopaedic Surgery Residency Programs During the COVID-19 Pandemic
CONCLUSION: Over one-third of programs are utilizing social media for recruitment purposes. There has been an 155% increase in Instagram and 43% increase in Twitter usage by residency programs since March 1, 2020. Instagram accounts created prior to the pandemic also demonstrated a near doubling of increased utilization after March. This represents a new, cost-effective way to connect with applicants in a time when in-person interactions are limited.Level of Evidence: III.PMID:34552398 | PMC:PMC8259205 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Ryan LeDuc Madeline M Lyons David Riopelle Karen Wu Adam Schiff Source Type: research

Pregnancy and Parental Leave During Orthopaedic Surgery Residency
This article addresses the current policies, health considerations, perceptions of parental leave and future recommendations regarding pregnancy and parental leave for orthopedic residents. Level of Evidence: V.PMID:34552399 | PMC:PMC8259193 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Jocelyn Compton Christina J Hajewski Andrew J Pugely Source Type: research

Trends in Rural Outreach by Orthopedic Surgeons
CONCLUSION: The VCC model of rural outreach is sustainable (30+ year history) and self-funded. Most clinics occur with sufficient frequency to allow timely follow-up care. This model of rural outreach is supported by the participation of a large segment (44%) of Iowa's orthopedic surgeons. Visiting orthopedic surgeons provide access to care in 65 of the 76 Critical Access Hospitals in Iowa offering orthopedic services compared to 8 staffed by a local orthopedic surgeon.Level of Evidence: V.PMID:34552400 | PMC:PMC8259181 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Thomas S Gruca Gregory C Nelson Cory Shultz Source Type: research

Asymptomatic Pre-Operative COVID-19 Screening for Essential and Elective Surgeries: Early Results of Universal Screening at a Midwestern Academic Medical Center
This study included 1,997 asymptomatic patients undergoing surgical procedures and 1,797 admitted for medical management at a Midwestern academic hospital between April 7, 2020 and May 21, 2020.RESULTS: As of May 21, asymptomatic testing for SARS-CoV-2 infection had been completed for 1,997 surgical patients and 1,797 non-surgical patients. Initial testing was positive in 26 patients, with an additional four positive tests occurring during repeat testing when greater than 48 hours had elapsed since initial testing. Overall asymptomatic infection rate was 0.79%. Asymptomatic infection rate was significantly lower in surgica...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Nathan R Hendrickson Kyle Kesler David E DeMik Natalie A Glass Matthew K Watson Bradley A Ford Jorge L Salinas Andrew J Pugely Source Type: research

Are Junior Residents Competent at Closed Reduction and Casting of Distal Radius Fractures in Children?
CONCLUSION: Junior residents perform similarly to senior residents in the closed reduction and casting of pediatric DRFs. However, residents performing one of their first three closed reductions during a rotation-regardless of seniority-were more likely to experience subsequent loss of reduction, suggesting the need for close supervision during the beginning of each rotation.Level of Evidence: III.PMID:34552402 | PMC:PMC8259206 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Scott M LaValva Benjamin H Rogers Alexandre Arkader Apurva S Shah Source Type: research

Ligamentum Teres Transfer During Medial Open Reduction in Patients with Developmental Dysplasia of the Hip
CONCLUSION: This study offers preliminary data to suggest that ligamentum teres reconstruction is a safe procedure that can minimize the risk for subluxation or re-dislocation that can occur within the post reduction hip spica cast. Although in this study, the patients who did not have LT reconstruction had a similar re-dislocation rate, we believe that ligamentum teres preservation is a useful adjunct to medial open reduction, especially in centers that may only treat occasional cases or have less experience in applying an excellent hip spica cast.Level of Evidence: III.PMID:34552403 | PMC:PMC8259203 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Conner Paez Raghav Badrinath Joshua Holt James D Bomar Scott J Mubarak Vidyadhar V Upasani Dennis R Wenger Source Type: research

Magnetically Controlled Growing Rods for Early Scoliosis Treatment in Coffin-Siris Syndrome: Case Report and Literature Review
We present the case of an 8-year-old female with CSS presenting with a progressive, rigid thoracolumbar kyphoscoliosis. She was successfully treated with a magnetically controlled growing rod, demonstrating improved ambulatory capacity and performance of activities of daily living. In pediatric patients with Coffin-Siris syndrome, magnetic expandable rods can be considered as an option for the management of progressive early-onset scoliosis. Level of Evidence: V.PMID:34552404 | PMC:PMC8259188 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Valerio Andreozzi Giorgio Princi Luca Labianca Domiziana Rinaldi Andrea Ferretti Source Type: research

Health Literacy in Clubfoot: A Quantitative Assessment of the Readability, Understandability and Actionability of Online Patient Education Material
CONCLUSION: Overall, online clubfoot educational materials scored poorly with respect to readability, understandability, and actionability. There is an association with Google™ search rank for understandability of clubfoot materials. However, readability and actionability are not significantly associated with search rank. In the era of shared decision-making, efforts should be made by medical professionals to improve the readability, understandability, and actionability of online resources in order to optimize parent understanding and facilitate effective outcomes.Level of Evidence.PMID:34552405 | PMC:PMC8259170 (Sou...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Mary Kate Skalitzky Trevor R Gulbrandsen William Lorentzen Burke Gao Alan G Shamrock Stuart L Weinstein Jose A Morcuende Source Type: research

Pediatric Supracondylar Humerus Fractures Can Be Safely Treated by Orthopaedic Surgeons With and Without Pediatric Fellowship Training
CONCLUSION: In this study, there was no difference in radiographic outcomes for patients with supracondylar humerus fractures surgically treated by either group. This suggests that pediatric supracondylar humerus fractures may be appropriately treated in communities without a pediatric-fellowship trained orthopaedic surgeon without compromised outcomes.Level of Evidence: III.PMID:34552406 | PMC:PMC8259185 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Kelly A Jenkins Shannon South Karen M Bovid Keith Kenter Source Type: research

Is There a Role for Intramedullary Tissue Sampling During Internal Fixation of Metastatic Disease in Long Bones? A Systematic Review and an Institutional Experience
CONCLUSION: There are limited descriptions of intramedullary tissue sampling during IF of long bones for MBD. The existing literature, along with our institutional data, suggest this technique is less than optimal for tissue retrieval given the high rates of negative results from samples sent for histopathology. Furthermore, given the lack of clinical impact of a positive sample, we believe a multidisciplinary group should discuss preoperatively the utility of whether treatment might change based off a tissue diagnosis.Level of Evidence: V.PMID:34552407 | PMC:PMC8259173 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Charles A Gusho Alan T Blank Source Type: research

Skeletal Related Events are Rare After Radiation Treatment for Metastatic Disease of the Femur
CONCLUSION: Metastatic disease of bone is a common condition that affects many cancer patients. In our institution's series of MDF treated with RT, we only found one patient who sustained a pathologic fracture after RT treatment with an unrecognized impending fracture. As only half of the patients were referred for an orthopedic evaluation prior to RT, continued education of medical and radiation oncologists regarding the signs and symptoms of impending pathologic fracture is warranted.Level of Evidence: IV.PMID:34552408 | PMC:PMC8259171 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Zachary Mayo Bryan G Allen Qiang An Benjamin J Miller Source Type: research

Is the Implant in Bone? The Accuracy of CT and Fluoroscopic Imaging for Detecting Malpositioned Pelvic Screw and SI Fusion Implants
CONCLUSION: These findings suggest that intraoperative CT imaging allows surgeons to make the best decision regarding implant position prior to leaving the operating room, thus potentially improving patient safety and unplanned returns to the operating room.Level of Evidence: V.PMID:34552409 | PMC:PMC8259187 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Jose E San Miguel-Ruiz David Polly Melissa Albersheim Jonathan Sembrano Takashi Takahashi Paul Lender Christopher T Martin Source Type: research

Intraoperative Spinal Cord Monitoring Does Not Decrease New Postoperative Neurological Deficits in Patients With Cervical Radiculopathy or Spondylotic Myelopathy Undergoing One or Two Level Anterior Cervical Discectomy And Fusion
CONCLUSION: Our results indicate that intraoperative spinal cord monitoring did not reduce new neurological deficits in our cohort of patients. The higher incidence in new neurological deficits despite no IONM changes in our monitored group suggests a lack of utility of IONM in ACDF. Furthermore, at an average of $6500 per IONM procedure, the present study underlines the importance of prudence when choosing to use IONM in the era of cost containment.Level of Evidence: III.PMID:34552410 | PMC:PMC8259189 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Brandon G Wilkinson Justin T Chang Natalie A Glass Cassim M Igram Source Type: research

The Rotational Positioning of the Bones in the Medial Column of the Foot: A Weightbearing CT Analysis
This study intended to describe the rotational profile of all medial column bones using weightbearing computed tomography (WBCT) images in a cohort of patients with different foot and ankle problems.METHODS: In this retrospective study, 110 feet of 95 consecutive patients that received a WBCT for assessment of different foot and ankle pathologies were included. Measurements were performed by a blinded fellowship-trained orthopedic foot and ankle surgeon. Rotation of the navicular, medial cuneiform, proximal and distal first metatarsal as well as proximal phalanx of the first toe were recorded. Positive values were consider...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Eli Schmidt Thiago Silva Daniel Baumfeld Kevin N Dibbern Hee Young Lee John Femino Nacime Salomao Barbachan Mansur Cesar de Cesar Netto Source Type: research

Weightbearing Computed Tomography for Assessment of Foot and Ankle Deformities: The Iowa Experience
CONCLUSION: This study contains the largest cohort of WBCTs with accompanied FAO measurements to date, which can aid with establishing a new baseline FAO measurement for multiple pathological conditions. Acquiring WBCTs resulted in a variety of more specific diagnoses for patient with foot and ankle complaints. The ability to utilize WBCT for presurgical planning, the capability to provide a 3D reconstruction of patient anatomy, and its use for assessment of advanced relational foot and ankle measurements, such as FAO, demonstrate how WBCT may serve as a remarkable utility in clinical practice and has become a standard of ...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Edward O Rojas Nacime Salomao Barbachan Mansur Kevin Dibbern Matthieu Lalevee Elijah Auch Eli Schmidt Victoria Vivtcharenko Shuyuan Li Phinit Phisitkul John Femino Cesar de Cesar Netto Source Type: research

Posterior Malleolar Fixation Reduces the Incidence of Trans-Syndesmotic Fixation in Rotational Ankle Fracture Repair
Iowa Orthop J. 2021;41(1):121-125.ABSTRACTBACKGROUND: Inaccuracy of ankle syndesmotic repair via reduction and trans-syndesmotic fixation can occur during ankle fracture repair. The goal of this study was to determine whether reduction and fixation of the posterior malleolar fracture (PM) fragment in rotational ankle fractures reduces the need for independent syndesmotic screw fixation.METHODS: A retrospective study was conducted using a consecutive series of patients treated operatively for a rotationally unstable ankle fracture with a PM fragment between 2011-2017. All ankle fractures underwent open reduction and interna...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Omar A Behery Rajkishen Narayanan Sanjit R Konda Nirmal C Tejwani Kenneth A Egol Source Type: research

Hip Arthroscopy Prior to Periacetabular Osteotomy Does Not Increase Operative Time or Complications: A Single Center Experience
CONCLUSION: Performing hip arthroscopy prior to PAO under the same general anesthetic does not significantly increase PAO operative time or postoperative complications.Level of Evidence: IV.PMID:34552414 | PMC:PMC8259174 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Alan G Shamrock Robert W Westermann Trevor R Gulbrandsen Zain M Khazi Christopher N Carender Michael C Willey Source Type: research

Mid-Term Outcomes of Combined Hip Arthroscopy and Limited Open Capsular Plication in the Non-Dysplastic Hip
Iowa Orthop J. 2021;41(1):133-139.ABSTRACTBACKGROUND: Hip microinstability remains poorly-defined but increasingly diagnosed in the setting of borderline dysplasia (LCEA 20-25°), soft tissue laxity, or following unrepaired arthroscopic capsulotomy. While hip microinstability is com-monly treated with arthroscopic capsular plication with short-term outcomes reported, this procedure has been performed open for some time. The purpose of current study was to assess the durability of outcomes of combined arthroscopy and open capsular plication in treating symptomatic hip microinstability at mid-term follow-up.METHODS: We re...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Jeffrey J Nepple Chetan Ambastha Wahid Abu-Amer John C Clohisy Source Type: research

Does Smoking Cessation Prior to Elective Total Joint Arthroplasty Result in Continued Abstinence?
CONCLUSION: With an increased focus on smoking cessation prior to elective TJA, orthopedics contributes to an important public health initiative. Although national quit rates are in the single digits, 23% of patients were able to quit permanently.Level of Evidence: IV.PMID:34552416 | PMC:PMC8259204 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: James R L Hall Rory Metcalf Emma Leisinger Qiang An Nicholas A Bedard Timothy S Brown Source Type: research

Insurance Coverage Criteria for Femoroacetabular Impingement Surgery: Are They Responding to Improving Evidence?
Iowa Orthop J. 2021;41(1):145-154.ABSTRACTBACKGROUND: With the rapidly growing body of FAI literature in the last decade, improved evidence exists to support FAI surgery. However, it remains unclear how well third-party insurance company's FAI policies have adapted over time to improved evidence. The purpose of this study was (1) to compare the 2020 FAI surgery criteria of four major insurance companies utilizing a multi-center cohort of FAI patients undergoing surgery to identify rates and causes of ineligibility, and (2) to compare the rates of approval based on changes in policy from 2012 to 2020.METHODS: Four major ins...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Andrew M Block Arya Minaie James R Ross John C Clohisy ANCHOR Group Jeffrey J Nepple Source Type: research

Assessment of Splinting Quality: A Prospective Study Comparing Different Practitioners
CONCLUSION: The appropriateness and complication rates of splints applied in the ED differ based on the type of provider and the institution. Outside hospitals were found to have the highest complication rates, while the lowest rates were associated with splints placed by Orthopaedics. These findings support the importance of education of proper splinting technique in non-trauma hospitals.Level of Evidence: III.PMID:34552418 | PMC:PMC8259183 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Keegan T Conry Douglas S Weinberg John H Wilber Raymond W Liu Source Type: research

Increased Medial Displacement of the Humeral Shaft of at Least 40% Correlates With an Increased Incidence of Nerve Injury in Proximal Humerus Fractures
CONCLUSION: Increased medial displacement of the humeral shaft following proximal humerus fracture is associated with an increased incidence of nerve injury at the time of initial presentation. This finding is not meant to be a surrogate for a high-quality neurologic exam in all patients with proximal humerus fractures. However, improved knowledge of the specific risk factors for an occult neurologic injury will improve the clinician's ability to accurately diagnose and properly treat proximal humerus fractures and their sequelae.Level of Evidence: III.PMID:34552419 | PMC:PMC8259169 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Brandon K Couch Patrick L Maher Mitchell S Fourman Gele B Moloney Peter A Siska Ivan S Tarkin Source Type: research

In Situ Straightening of a Bent Tibiofemoral Intramedullary Nail: Case Report and Review of the Literature
We present a case of a 51-year-old male with a long history of prior left knee arthrodesis with a tibiofemoral nail who sustained a work injury resulting in a proximal tibia fracture and bent tibiofemoral nail. Clinically, he presented with significant varus and procurvatum limb deformity and a six-centimeter limb length discrepancy. The patient was successfully managed with in situ straightening of the tibiofemoral nail under a general anesthetic with return to work three months following manipulation. Level of Evidence: IV.PMID:34552420 | PMC:PMC8259186 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Alan Shamrock Steven Leary James Kohler Matthew Karam Christopher Carender David DeMik James Nepola Source Type: research

The Rurality of Upper Extremity Firearm Injuries
CONCLUSION: Our data suggests that upper extremity firearm injuries in a rural population are unique from urban injuries in that they are predominately unintentional, isolated, and non-fatal. We identify a distinct rural cohort that may benefit from better directed interventions to prevent firearm injuries and ultimately guide firearm education and public policy.Level of Evidence: III.PMID:34552421 | PMC:PMC8259192 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Matthew D McIlrath Ignacio G Fleury Qiang An Joseph A Buckwalter Source Type: research

Safety and Efficacy of Forearm Tourniquet Compared to Upper Arm Tourniquet for Local Intravenous Regional Anesthesia in Hand Surgery: A Randomized Clinical Trial
Iowa Orthop J. 2021;41(1):177-181.ABSTRACTBACKGROUND: Forearm tourniquets may offer decreased doses of anesthetic, shorter procedure times, and less pain compared to upper arm tourniquets. There is limited data comparing the clinical efficacy of forearm Bier blocks to conventional upper arm Bier blocks. The purpose of this study was to assess the effectiveness, complications, duration, cost, and patient satisfaction between forearm and upper arm Bier blocks during surgery.METHODS: Sixty-six carpal tunnel release, ganglion excision, or trigger finger procedures were performed. Patients were randomized to 3 groups: upper arm...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Alexander J Volkmar Molly A Day Ignacio Garcia Fleury Ericka A Lawler Melinda Seering Lindsey S Caldwell Source Type: research

2021 IOJ Editors' Note
Iowa Orthop J. 2021;41(1):iii.NO ABSTRACTPMID:34552425 | PMC:PMC8259190 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Christopher Carender David DeMik Alan Shamrock Source Type: research

2021 Graduating Orthopedic Residents
Iowa Orthop J. 2021;41(1):ix-xi.NO ABSTRACTPMID:34552427 | PMC:PMC8259194 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Source Type: research

2021 Graduating Fellows
Iowa Orthop J. 2021;41(1):xii.NO ABSTRACTPMID:34552431 | PMC:PMC8259179 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Source Type: research

New Orthopedic Faculty
Iowa Orthop J. 2021;41(1):xiii.NO ABSTRACTPMID:34552432 | PMC:PMC8259202 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Source Type: research

The 2021 Michael Bonfiglio Award for Student Research in Orthopaedic Surgery: the 2021 Iowa Orthopaedic Society Medical Student Research Award for Musculoskeletal Research
Iowa Orthop J. 2021;41(1):xiv.NO ABSTRACTPMID:34552433 | PMC:PMC8259197 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Benjamin J Miller Source Type: research

Orthopedic Surgery Residency Application Process in 2020 - Has Diversity been Affected?
Iowa Orthop J. 2021;41(1):1-4.ABSTRACTBACKGROUND: Orthopedic surgery is currently the least diverse field in medicine. COVID-19 necessitated a virtual rotation and interview process for orthopedic residency applications in 2020. Given the pressing need to address disparities within the field, any change in the application process should be examined with regard to the potential effects it could have on the diversity of trainees in orthopedic surgery. The purpose of this study was to evaluate the effect of virtual rotations and interviews on the demographic distribution of applicants to orthopedic surgery residency.METHODS: ...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Lindsey S Caldwell Ericka A Lawler Source Type: research

Identifying Barriers: Current Breastfeeding Policy in Orthopedic Surgery Residency
CONCLUSION: Scarce information is available to prospective orthopedic surgery residents regarding breast-feeding policies and available lactation facilities. Only 2.8% of current programs have website information discussing breastfeeding support. Ensuring available breastfeeding support for female orthopedic surgeon trainees and the transparency of these policies by orthopedic departments could contribute to an improved perception of childbearing during residency.Level of Evidence: IV.PMID:34552396 | PMC:PMC8259184 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Malynda Wynn Lindsey Caldwell Heather Kowalski Ericka Lawler Source Type: research

Resist the Rise of Irrelevant Outcome Measures in Clinical Research
Iowa Orthop J. 2021;41(1):11-12.NO ABSTRACTPMID:34552397 | PMC:PMC8259178 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Benjamin J Miller Source Type: research

Social Media Utilization Trends in Orthopaedic Surgery Residency Programs During the COVID-19 Pandemic
CONCLUSION: Over one-third of programs are utilizing social media for recruitment purposes. There has been an 155% increase in Instagram and 43% increase in Twitter usage by residency programs since March 1, 2020. Instagram accounts created prior to the pandemic also demonstrated a near doubling of increased utilization after March. This represents a new, cost-effective way to connect with applicants in a time when in-person interactions are limited.Level of Evidence: III.PMID:34552398 | PMC:PMC8259205 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Ryan LeDuc Madeline M Lyons David Riopelle Karen Wu Adam Schiff Source Type: research

Pregnancy and Parental Leave During Orthopaedic Surgery Residency
This article addresses the current policies, health considerations, perceptions of parental leave and future recommendations regarding pregnancy and parental leave for orthopedic residents. Level of Evidence: V.PMID:34552399 | PMC:PMC8259193 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Jocelyn Compton Christina J Hajewski Andrew J Pugely Source Type: research

Trends in Rural Outreach by Orthopedic Surgeons
CONCLUSION: The VCC model of rural outreach is sustainable (30+ year history) and self-funded. Most clinics occur with sufficient frequency to allow timely follow-up care. This model of rural outreach is supported by the participation of a large segment (44%) of Iowa's orthopedic surgeons. Visiting orthopedic surgeons provide access to care in 65 of the 76 Critical Access Hospitals in Iowa offering orthopedic services compared to 8 staffed by a local orthopedic surgeon.Level of Evidence: V.PMID:34552400 | PMC:PMC8259181 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Thomas S Gruca Gregory C Nelson Cory Shultz Source Type: research

Asymptomatic Pre-Operative COVID-19 Screening for Essential and Elective Surgeries: Early Results of Universal Screening at a Midwestern Academic Medical Center
This study included 1,997 asymptomatic patients undergoing surgical procedures and 1,797 admitted for medical management at a Midwestern academic hospital between April 7, 2020 and May 21, 2020.RESULTS: As of May 21, asymptomatic testing for SARS-CoV-2 infection had been completed for 1,997 surgical patients and 1,797 non-surgical patients. Initial testing was positive in 26 patients, with an additional four positive tests occurring during repeat testing when greater than 48 hours had elapsed since initial testing. Overall asymptomatic infection rate was 0.79%. Asymptomatic infection rate was significantly lower in surgica...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Nathan R Hendrickson Kyle Kesler David E DeMik Natalie A Glass Matthew K Watson Bradley A Ford Jorge L Salinas Andrew J Pugely Source Type: research

Are Junior Residents Competent at Closed Reduction and Casting of Distal Radius Fractures in Children?
CONCLUSION: Junior residents perform similarly to senior residents in the closed reduction and casting of pediatric DRFs. However, residents performing one of their first three closed reductions during a rotation-regardless of seniority-were more likely to experience subsequent loss of reduction, suggesting the need for close supervision during the beginning of each rotation.Level of Evidence: III.PMID:34552402 | PMC:PMC8259206 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Scott M LaValva Benjamin H Rogers Alexandre Arkader Apurva S Shah Source Type: research

Ligamentum Teres Transfer During Medial Open Reduction in Patients with Developmental Dysplasia of the Hip
CONCLUSION: This study offers preliminary data to suggest that ligamentum teres reconstruction is a safe procedure that can minimize the risk for subluxation or re-dislocation that can occur within the post reduction hip spica cast. Although in this study, the patients who did not have LT reconstruction had a similar re-dislocation rate, we believe that ligamentum teres preservation is a useful adjunct to medial open reduction, especially in centers that may only treat occasional cases or have less experience in applying an excellent hip spica cast.Level of Evidence: III.PMID:34552403 | PMC:PMC8259203 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Conner Paez Raghav Badrinath Joshua Holt James D Bomar Scott J Mubarak Vidyadhar V Upasani Dennis R Wenger Source Type: research

Magnetically Controlled Growing Rods for Early Scoliosis Treatment in Coffin-Siris Syndrome: Case Report and Literature Review
We present the case of an 8-year-old female with CSS presenting with a progressive, rigid thoracolumbar kyphoscoliosis. She was successfully treated with a magnetically controlled growing rod, demonstrating improved ambulatory capacity and performance of activities of daily living. In pediatric patients with Coffin-Siris syndrome, magnetic expandable rods can be considered as an option for the management of progressive early-onset scoliosis. Level of Evidence: V.PMID:34552404 | PMC:PMC8259188 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Valerio Andreozzi Giorgio Princi Luca Labianca Domiziana Rinaldi Andrea Ferretti Source Type: research

Health Literacy in Clubfoot: A Quantitative Assessment of the Readability, Understandability and Actionability of Online Patient Education Material
CONCLUSION: Overall, online clubfoot educational materials scored poorly with respect to readability, understandability, and actionability. There is an association with Google™ search rank for understandability of clubfoot materials. However, readability and actionability are not significantly associated with search rank. In the era of shared decision-making, efforts should be made by medical professionals to improve the readability, understandability, and actionability of online resources in order to optimize parent understanding and facilitate effective outcomes.Level of Evidence.PMID:34552405 | PMC:PMC8259170 (Sou...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Mary Kate Skalitzky Trevor R Gulbrandsen William Lorentzen Burke Gao Alan G Shamrock Stuart L Weinstein Jose A Morcuende Source Type: research

Pediatric Supracondylar Humerus Fractures Can Be Safely Treated by Orthopaedic Surgeons With and Without Pediatric Fellowship Training
CONCLUSION: In this study, there was no difference in radiographic outcomes for patients with supracondylar humerus fractures surgically treated by either group. This suggests that pediatric supracondylar humerus fractures may be appropriately treated in communities without a pediatric-fellowship trained orthopaedic surgeon without compromised outcomes.Level of Evidence: III.PMID:34552406 | PMC:PMC8259185 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Kelly A Jenkins Shannon South Karen M Bovid Keith Kenter Source Type: research

Is There a Role for Intramedullary Tissue Sampling During Internal Fixation of Metastatic Disease in Long Bones? A Systematic Review and an Institutional Experience
CONCLUSION: There are limited descriptions of intramedullary tissue sampling during IF of long bones for MBD. The existing literature, along with our institutional data, suggest this technique is less than optimal for tissue retrieval given the high rates of negative results from samples sent for histopathology. Furthermore, given the lack of clinical impact of a positive sample, we believe a multidisciplinary group should discuss preoperatively the utility of whether treatment might change based off a tissue diagnosis.Level of Evidence: V.PMID:34552407 | PMC:PMC8259173 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Charles A Gusho Alan T Blank Source Type: research

Skeletal Related Events are Rare After Radiation Treatment for Metastatic Disease of the Femur
CONCLUSION: Metastatic disease of bone is a common condition that affects many cancer patients. In our institution's series of MDF treated with RT, we only found one patient who sustained a pathologic fracture after RT treatment with an unrecognized impending fracture. As only half of the patients were referred for an orthopedic evaluation prior to RT, continued education of medical and radiation oncologists regarding the signs and symptoms of impending pathologic fracture is warranted.Level of Evidence: IV.PMID:34552408 | PMC:PMC8259171 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Zachary Mayo Bryan G Allen Qiang An Benjamin J Miller Source Type: research

Is the Implant in Bone? The Accuracy of CT and Fluoroscopic Imaging for Detecting Malpositioned Pelvic Screw and SI Fusion Implants
CONCLUSION: These findings suggest that intraoperative CT imaging allows surgeons to make the best decision regarding implant position prior to leaving the operating room, thus potentially improving patient safety and unplanned returns to the operating room.Level of Evidence: V.PMID:34552409 | PMC:PMC8259187 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Jose E San Miguel-Ruiz David Polly Melissa Albersheim Jonathan Sembrano Takashi Takahashi Paul Lender Christopher T Martin Source Type: research

Intraoperative Spinal Cord Monitoring Does Not Decrease New Postoperative Neurological Deficits in Patients With Cervical Radiculopathy or Spondylotic Myelopathy Undergoing One or Two Level Anterior Cervical Discectomy And Fusion
CONCLUSION: Our results indicate that intraoperative spinal cord monitoring did not reduce new neurological deficits in our cohort of patients. The higher incidence in new neurological deficits despite no IONM changes in our monitored group suggests a lack of utility of IONM in ACDF. Furthermore, at an average of $6500 per IONM procedure, the present study underlines the importance of prudence when choosing to use IONM in the era of cost containment.Level of Evidence: III.PMID:34552410 | PMC:PMC8259189 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Brandon G Wilkinson Justin T Chang Natalie A Glass Cassim M Igram Source Type: research

The Rotational Positioning of the Bones in the Medial Column of the Foot: A Weightbearing CT Analysis
This study intended to describe the rotational profile of all medial column bones using weightbearing computed tomography (WBCT) images in a cohort of patients with different foot and ankle problems.METHODS: In this retrospective study, 110 feet of 95 consecutive patients that received a WBCT for assessment of different foot and ankle pathologies were included. Measurements were performed by a blinded fellowship-trained orthopedic foot and ankle surgeon. Rotation of the navicular, medial cuneiform, proximal and distal first metatarsal as well as proximal phalanx of the first toe were recorded. Positive values were consider...
Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Eli Schmidt Thiago Silva Daniel Baumfeld Kevin N Dibbern Hee Young Lee John Femino Nacime Salomao Barbachan Mansur Cesar de Cesar Netto Source Type: research