A Systematic Review and Meta-Analysis of Negative Wound Pressure Therapy Use in Soft Tissue Sarcoma Resection
CONCLUSION: NWPT appears to lower the WC risk in STS without increasing the recurrence risk, and may be suitable for primary, recurrent, or positive margin resections, staged reconstructions, and while awaiting histologic margin assessment. However, larger, randomized-controlled trials of NWPT in STS are warranted. Level of Evidence: III.PMID:38213851 | PMC:PMC10777702 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Charles Gusho Rachel Phillips James Cook Andrea Evenski Source Type: research
Publication Rates Vary Across Orthopaedic Subspecialties: A Longitudinal Analysis of AAOS Abstracts
CONCLUSION: Differences in publication rate across orthopaedic subspecialties were observed with articles in sports medicine more likely to be published, published quickly, and featured in a higher impact factor journals. Understanding these differences, and how they relate to the publication and promotion of novel research, is important for orthopaedic researchers. Level of Evidence: IV.PMID:38213852 | PMC:PMC10777694 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Mitchell A Johnson Andrew Parambath Neal Shah Apurva S Shah Source Type: research
A Case for Acute Proximal Row Carpectomy for Perilunate Injuries
CONCLUSION: Primary proximal row carpectomy is a treatment option in the acute setting for perilunate injuries in elderly, lower-demand patients. Functional results are similar to those obtained with ligamentous reconstruction, with a shorter recovery period. Level of Evidence: IV.PMID:38213853 | PMC:PMC10777708 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Kathryn C Yeager Kate M Parker Nathan T Morrell Source Type: research
Traumatic Irreducible Pediatric Radial Head Dislocations: A Unique Case and Review of the Literature
CONCLUSION: Irreducible pediatric radial head dislocations are rare and inherently unstable injuries. To the authors' knowledge, there are no prior reports of irreducible radial head dislocations that present in a terrible triad like fashion with a coronoid process fracture and posterior elbow dislocation. In the present report, successful treatment of this injury required open reduction and soft tissue repair. Level of Evidence: IV.PMID:38213854 | PMC:PMC10777704 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Danny Lee Arya Minaie Zachary Donato Joseph Yunga Tigre Monica Payares-Lizano Source Type: research
Risk Factors for Blood Transfusions in Elective Single-Level Anterior Lumbar Interbody Fusion for Degenerative Conditions
CONCLUSION: Several independent risk factors including age ≥60 years, preoperative blood transfusions and extended operative times increased risk for blood transfusion following single-level ALIF. The present study aims to help surgeons identify high-risk patients to better communicate postoperative expectations and optimize patients to reduce the risk of transfusions and secondary complications. Level of Evidence: III.PMID:38213855 | PMC:PMC10777706 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Danny Lee Ryan Lee Safa C Fassihi Pradip Ramamurti Jessica H Heyer Uchechi Iweala Jeffrey Weinreb Joseph O'Brien Source Type: research
Mechanical Gains Associated With Virtual Prophylactic Intramedullary Nail Fixation in Femurs With Metastatic Disease
CONCLUSION: Given the mechanically strong baseline condition of most femurs in this cohort, evident by the low fracture risk at the time of CT scanning, the relative increase in stiffness with the addition of the IMN hardware may not make a substantial contribution to overall mechanical strength. The mechanical gains of IMN fixation in femurs with MBD appear most beneficial when the hardware traverses an adequate section of the lesion. Level of Evidence: III.PMID:38213856 | PMC:PMC10777699 (Source: Iowa orthopaedic journal)
Source: Iowa orthopaedic journal - January 12, 2024 Category: Orthopaedics Authors: Joshua E Johnson Ana V Figueroa Marc J Brouillette Benjamin J Miller Jessica E Goetz Source Type: research
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
