Pain Catastrophizing, Kinesiophobia, Stress, Depression, and Poor Resiliency Are Associated With Pain and Dysfunction in the Hip Preservation Population
CONCLUSION: PCS, TSK, Stress, Depression, and low BRS are associated with pain and disability in hip preservation subjects. Elevated TSK, Anxiety and Stress may be predictors of failure to improve with nonoperative treatment. These psychosocial characteristics should be investigated further as predictors of clinical outcomes in the hip preservation population. Level of Evidence: II.PMID:38213857 | PMC:PMC10777701 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Momin Nasir Elizabeth J Scott Robert C Westermann Source Type: research

What Are the Barriers to Incorporating Nutrition Interventions Into Care of Older Adults With Femoral Fragility Fractures?
Iowa Orthop J. 2023 Dec;43(2):172-182.ABSTRACTFemoral fragility fractures cause substantial morbidity and mortality in older adults. Mortality has generally been approximated between 10-20% in the first year after fracture and among those who do survive, another 20-60% require assistance with basic activities within 1-2 years following fracture.1 Malnutrition is common and perpetuates these poor outcomes. Nutrition supplementation has potential to prevent post-injury malnutrition, preserve functional muscle mass, and improve outcomes in older adults with femoral fragility fractures, however high-quality evidence is lacking...
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Spencer Dempewolf Bryan Mouser Marshall Rupe Erin C Owen Lisa Reider Michael C Willey Source Type: research

Sex Differences in Patient-Reported Outcomes Following Surgical Hip Preservation Interventions: A Systematic Review and Meta-Analysis
CONCLUSION: The present review suggests that men undergoing surgery for FAI and/or DDH tend to have higher preoperative and postoperative PRO scores. However, it appears that women often have greater preoperative to postoperative improvement in PRO scores. This finding is strongest in surgical treatment of DDH. Level of Evidence: III.PMID:38213859 | PMC:PMC10777693 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Emily A Parker Rebecca Peoples Michael C Willey Robert W Westermann Source Type: research

T < sub > 2 < /sub > * Imaging Assessment of Neoadjuvant Radiation Therapy Combined With Pharmacological Ascorbate in Extremity Soft-Tissue Sarcomas: A Pilot Study
CONCLUSION: T2* measurements prior to treatment, two weeks after initiating treatment, and before surgery showed moderate to strong correlations with percent necrosis. These results support the potential for using T2* mapping to predict and assess response to neoadjuvant radiation therapy combined with pharmacological ascorbate in extremity STS. Level of Evidence: IV.PMID:38213860 | PMC:PMC10777695 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Chu-Yu Lee Michael S Petronek Varun Monga Benjamin J Miller Mohammed M Milhem Vincent A Magnotta Bryan G Allen Source Type: research

Consideration for Limb Salvage in Place of Amputation in Complex Tibial Fracture With Neurovascular Injury: A Case Report
Iowa Orthop J. 2023 Dec;43(2):20-24.ABSTRACTHigh-energy tibial fractures often present with associated soft tissue injuries, including neuro-vascular damage, complicating the treatment decision. A 33-year-old male presented with Gustilo Anderson type IIIA fracture of the left distal tibia and fibula with associated closed calcaneus fracture and tibial nerve transection. Amputation was discussed, but the decision was made for limb salvage with nerve allograft. The patient displayed satisfactory functional recovery at 29 months postoperatively without need for major revision, grafting, arthrodesis, or amputation. This case r...
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Deana M Mercer Hoang M Nguyen William Curtis John J Heifner David H Chafey Source Type: research

The Incidence and Outcomes Following Treatment of Capsulolabral Adhesions in Hip Arthroscopy: A Systematic Review
CONCLUSION: While the incidence of symptomatic capsulolabral adhesions after primary hip arthroscopy is low; revision hip arthroscopy is strongly associated with adhesion development. Lysis of adhesions in primary hip arthroscopy patients reliably improved patient-reported outcomes. Level of Evidence: IV.PMID:38213862 | PMC:PMC10777703 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Taylor J Den Hartog Steven M Leary Andrew L Schaver Emily A Parker Robert W Westermann Source Type: research

Back to Basics: Pediatric Casting Techniques, Pearls, and Pitfalls
Iowa Orthop J. 2023 Dec;43(2):79-89.ABSTRACTCast application is a critical portion of pediatric orthopaedic surgery training and is being performed by a growing number of non-orthopaedic clinicians including primary care physicians and advanced practice providers (APPs). Given the tremendous remodeling potential of pediatric fractures, correct cast placement often serves as the definitive treatment in this age population as long as alignment is maintained. Proper cast application technique is typically taught through direct supervision from more senior clinicians, with little literature and few resources available for prov...
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Bridget K Ellsworth Joshua T Bram Heather S Haeberle Christopher J DeFrancesco David M Scher Source Type: research

Medical Literature in the Treatment of Clubfoot 1997 - 2021: The Emergence and Spread of the Ponseti Method Over 23 Years
CONCLUSION: These results suggest a trend of dissemination of knowledge to additional countries, reflecting the more widespread usage of the method throughout the world, and global outreach as a result of the work of Ponseti International Association. Level of Evidence: II.PMID:38213864 | PMC:PMC10777687 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Elizabeth de Alvarenga Borges da Fons êca Monica Paschoal Nogueira Source Type: research

A Pilot Study of Nutritional Supplementation in Soft Tissue Sarcoma Patients
CONCLUSION: In our limited sample size, there was no difference in wound healing complications between sarcoma patients who received postoperative BCAA supplementation compared to a historical cohort who were not supplemented. Patients who did not receive supplementation had a significant decline in post-operative psoas index following operative sarcoma removal. Level of Evidence: III.PMID:38213865 | PMC:PMC10777690 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Mike Russell Steven Leary Nathan E Saxby Natalie Glass Benjamin J Miller Source Type: research

Did Rapid Expansion of Same Day Discharge Hip and Knee Arthroplasty During the COVID-19 Pandemic Increase Early Complications?
CONCLUSION: Rapid expansion of SDD TJA during the COVID-19 pandemic did not increase overall complication, readmission, or re-operation rates. Level of Evidence: IV.PMID:38213866 | PMC:PMC10777698 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Taylor J Den Hartog David E DeMik Kyle W Geiger Christopher N Carender Austin C Benson Natalie A Glass Jacob M Elkins Source Type: research

Utilization Trends, Patient-Demographics, and Comparison of Medical Complications of Sliding Hip Screw or Intramedullary Nail for Intertrochanteric Fractures: A Nationwide Analysis from 2005 to 2014 of the Medicare Population
CONCLUSION: This analysis demonstrates a difference in utilization of SHS and IMN for patients with IT fractures. Patients with IMN had significantly higher prevalence of comorbid conditions and incidence of 90-day postoperative complications compared to SHS patients. The study can be utilized by orthopaedic surgeons to potentially anticipate healthcare utilization depending on implant selection. Level of Evidence: III.PMID:38213845 | PMC:PMC10777688 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Ajit M Vakharia Lucas R Haase Jacob Speybroeck Ryan Furdock Jason Ina George Ochenjele Source Type: research

Deformities Influencing Different Classes in Progressive Collapsing Foot
CONCLUSION: This study was able to find relations between components of PCFD deformity with exception of ankle valgus (Class E). Measurements associated with each class were influenced by others, and in some instances with pronounced strength. The presented data may support the notion that PCFD is a three-dimensional complex deformity and suggests a possible relation among its ostensibly independent features. Level of Evidence: III.PMID:38213846 | PMC:PMC10777689 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Aly Fayed Vineel Mallavarapu Eli Schmidt Kepler Alencar Mendes de Carvalho Matthieu Lalev ée Ki Chun Kim Amanda Ehret Edward O Rojas Francois Lintz Scott J Ellis Nacime Sb Mansur Cesar de Cesar Netto Source Type: research

Quantitative Analysis of Anesthesia Utilization in Ambulatory Hand Surgery
CONCLUSION: LA was the most utilized modality over the study period, though a significant proportion of usage has shifted back towards RA and GA over time. Commercial/private insurance was the most frequent reimbursement source for all procedures, though Medicaid covered disproportionately more procedures utilizing GA. RA use was noted to be disproportionately higher in mid-sized population centers (2-4 million in population). Level of Evidence: IV.PMID:38213847 | PMC:PMC10777700 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Lucas P Bowen Dean W Smith Jacob Siahaan Source Type: research

Outcomes of Revision Total Hip Arthroplasty in Patients 60 Years and Younger
CONCLUSION: Revision THA in patients less than 60 years of age was associated with considerably lower rates of early loosening-related failure than historically reported. Recurrent dislocation and infection appear to remain challenges in this population. Despite improvements in survivorship from earlier studies, patient-reported functional improvements remained relatively unchanged. Level of Evidence: IV.PMID:38213848 | PMC:PMC10777697 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Frank W Parilla Charles P Hannon Gail E Pashos Karla J Gresham John C Clohisy Source Type: research

The Impact of Isolated Preoperative Cannabis Use on Outcomes Following Cervical Spinal Fusion: A Propensity Score-Matched Analysis
CONCLUSION: Isolated baseline cannabis dependence/abuse was associated with increased risk of 90-day readmission following CF. Further investigation of the physiologic impact of cannabis on musculoskeletal patients may elucidate significant contributory factors. Level of Evidence: III.PMID:38213849 | PMC:PMC10777691 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Neil V Shah Cameron R Moattari Joshua D Lavian Samuel Gedailovich Benjamin Krasnyanskiy George A Beyer Nolan Condron Peter G Passias Renaud Lafage Han Jo Kim Frank J Schwab Virginie Lafage Carl B Paulino Bassel G Diebo Source Type: research