Neil E. Green, MD * 1940-2016
(Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Tags: Obituary Source Type: research
Whats New in Pediatric Orthopaedics
(Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Kelly, D. M., Weiss, J. M., Martus, J. E. Tags: Pediatrics Specialty Update Source Type: research
Same-Day Versus Next-Day Discharge Increased Pain on the Day After, But Not on the Day of or Four Weeks After, Total Hip Arthroplasty
(Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Vail, T. P. Tags: Hip Evidence-Based Orthopaedics Source Type: research
In Reparable Rotator Cuff Tears with Lesions of the Long Head of the Biceps Brachii Tendon, Tenotomy Did Not Differ from Tenodesis in Terms of Function or Pain
(Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Karlsson, J. Tags: Shoulder Evidence-Based Orthopaedics Source Type: research
Early, Rather than Late, Weight-Bearing and Range-of-Motion Exercise Improved Early Function But Not Time to Return to Work After Surgical Fixation of Unstable Ankle Fractures
(Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Gorczyca, J. T. Tags: Foot & Ankle, Trauma Evidence-Based Orthopaedics Source Type: research
A Prospective Study of Four Total Ankle Arthroplasty Implants by Non-Designer Investigators
Conclusions:
This study demonstrated acceptable outcomes of 4 modern TAA prostheses. Outcome results from patient-reported scores were comparable between at least 3 of the 4 prostheses (the Hintegra, STAR, and Agility implants). The rates of complications and revisions found in this study are within the limits reported in the literature for similar prostheses and methods of reporting.
Level of Evidence:
Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Lefrancois, T., Younger, A., Wing, K., Penner, M. J., Dryden, P., Wong, H., Daniels, T., Glazebrook, M. Tags: Foot & Ankle Scientific Articles Source Type: research
Long-Term Results After Total Knee Arthroplasty with Contemporary Rotating-Hinge Prostheses
Conclusions:
Contemporary rotating-hinge TKA implants had a low 10-year cumulative incidence of revision for aseptic loosening of 4.5%. Greater use of metaphyseal fixation has aided this improvement. Patients can expect substantial improvements in clinical outcomes with this revision strategy.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Cottino, U., Abdel, M. P., Perry, K. I., Mara, K. C., Lewallen, D. G., Hanssen, A. D. Tags: Knee Scientific Articles Source Type: research
Thromboembolic Disease in Patients with Metastatic Femoral Lesions: A Comparison Between Prophylactic Fixation and Fracture Fixation
Conclusions:
Patients with metastatic disease who undergo prophylactic intramedullary nailing have higher observed rates of venous thromboembolic events than those who undergo nailing for the treatment of a pathological fracture and should be actively and vigilantly managed in the postoperative period.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Aneja, A., Jiang, J. J., Cohen-Rosenblum, A., Luu, H. L., Peabody, T. D., Attar, S., Luo, T. D., Haydon, R. C. Tags: Oncology, Trauma Scientific Articles Source Type: research
Rotational Knee Instability in ACL-Deficient Knees: Role of the Anterolateral Ligament and Iliotibial Band as Defined by Tibiofemoral Compartment Translations and Rotations
Conclusions:
With ACL sectioning, a positive pivot-shift anterior subluxation occurred even with intact ALL and ITB structures, which indicates that the latter are not primary restraints but function together as anterolateral secondary restraints. With ACL deficiency, concurrent loss of the ALL and ITB resulted in conversion in a majority of knees (71%) to a Grade-3 pivot-shift subluxation, along with major increases of internal rotation in select knees.
Clinical Relevance:
With ACL rupture, major increases in rotational instability are not adequately resisted by native ALL or ITB structures. Therefore, anatomic ALL or IT...
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Noyes, F. R., Huser, L. E., Levy, M. S. Tags: Basic Science, Sports Medicine Scientific Articles Source Type: research
Smoking Increases the Rate of Reoperation for Infection within 90 Days After Primary Total Joint Arthroplasty
Conclusions:
This study, after controlling for confounding factors, demonstrated not only that current smokers have a significantly increased risk of reoperation for infection within 90 days of a surgical procedure compared with nonsmokers, but also that the amount that one has smoked, regardless of current smoking status, significantly contributed to increased risk of nonoperative readmission.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Tischler, E. H., Matsen Ko, L., Chen, A. F., Maltenfort, M. G., Schroeder, J., Austin, M. S. Tags: Hip, Infection, Knee Scientific Articles Source Type: research
Physical Activities and Lifestyle Factors Related to Adolescent Idiopathic Scoliosis
Conclusions:
No association was found between AIS and lifestyle-related factors. However, classical ballet training, a family history of scoliosis, and low BMI may be associated with AIS.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Watanabe, K., Michikawa, T., Yonezawa, I., Takaso, M., Minami, S., Soshi, S., Tsuji, T., Okada, E., Abe, K., Takahashi, M., Asakura, K., Nishiwaki, Y., Matsumoto, M. Tags: Pediatrics, Spine Scientific Articles Source Type: research
Twelve-Year Outcomes of an Oxinium Total Knee Replacement Compared with the Same Cobalt-Chromium Design: An Analysis of 17,577 Prostheses from the Australian Orthopaedic Association National Joint Replacement Registry
Conclusions:
In this cohort study involving the same prosthetic design, Oxinium femoral components did not reduce revision rates for all causes, loosening or lysis, or when infection as a cause of revision was removed compared with the same CoCr femoral component across all age groups including patients who were <55 years old. The cumulative percent revision was greater for the Oxinium components than for the CoCr components.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Vertullo, C. J., Lewis, P. L., Graves, S., Kelly, L., Lorimer, M., Myers, P. Tags: Knee Scientific Articles Source Type: research
No Smoking Allowed: Is the Operating Room the Next Place That Smoking Patients Undergoing Total Joint Arthroplasty Will Be Banned?: Commentary on an article by Eric H. Tischler, BA, et al.: "Smoking Increases the Rate of Reoperation for Infection within 90 Days After Primary Total Joint Arthroplasty"
(Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Hamilton, W. G. Tags: Hip, Infection, Knee Commentary and Perspective Source Type: research
Is Oxinium Losing Its Luster?: Commentary on an article by Christopher J. Vertullo, MBBS, FRACS(Orth), FAOrthA, et al.: "Twelve-Year Outcomes of an Oxinium Total Knee Replacement Compared with the Same Cobalt-Chromium Design. An Analysis of 17,577 Prostheses from the Australian Orthopaedic Association National Joint Replacement Registry"
(Source: JBJS)
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Reich, M. S., Walker, R. H. Tags: Commentary and Perspective Source Type: research
Measures of the Appropriateness of Elective Orthopaedic Joint and Spine Procedures
Abstract:
Total knee arthroplasty and total hip arthroplasty are 2 of the most commonly performed elective orthopaedic procedures. They are remarkably successful in relieving pain and improving function in individuals with advanced, symptomatic arthritis. Since, in addition to providing benefits, these procedures pose risks, it is important to provide clinicians with guidance in determining which patients should undergo total joint replacement surgery. The development of the RAND approach in 1986 and its application to total hip and knee replacement have enabled clinicians, payers, and others to assess the appropriateness ...
Source: JBJS - February 14, 2017 Category: Orthopaedics Authors: Katz, J. N., Winter, A. R., Hawker, G. Tags: Hip, Knee, Spine The Orthopaedic Forum Source Type: research
