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How Feasible Are Digital Intraoperative Plain Radiographs in Orthopaedic Trauma Surgery?
In this study, there were no re-operations or perioperative complications when intraoperative plain films were obtained. Intraoperative plain films are a valuable tool for complex periarticular surgery or other cases where fracture reduction or implant location may be in question. (Journal of Surgical Orthopaedic Advances 32(3):160-163, 2023).PMID:38252601 (Source: Journal of surgical orthopaedic advances)
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: J Benjamin Allis Devon M Jeffcoat Eric D Farrell Source Type: research

Does Surgeon Compensation Differ by Implant Choice for the Treatment of Femoral Neck Fractures?
This study shows that orthopaedic surgeons are compensated the most for ORIF followed by THA and HA for fixation of femoral neck fractures. (Journal of Surgical Orthopaedic Advances 32(3):164-168, 2023).PMID:38252602 (Source: Journal of surgical orthopaedic advances)
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Erik Gerlach John Carney Mark Plantz Colin K Cantrell Jeremy Marx Peter Swiatek Rusheel Nayak Bennet Butler Source Type: research

Body Mass Index and American Society of Anesthesiologists Score Predict Perioperative Delays in Different Phases for Total Hip Arthroplasty
J Surg Orthop Adv. 2023 Fall;32(3):169-172.ABSTRACTPerioperative efficiency has become increasingly important with cost constraints and expanding indications for total hip arthroplasty (THA). We chose to analyze body mass index (BMI) and American Society of Anesthesiologists (ASA) score, in predicting perioperative efficiency. We retrospectively reviewed the institutional database for primary THAs from July 2015 to January 2018. Patient demographics and perioperative times lines were collected. A multivariable model was utilized to evaluate BMI (< 30, ≥ 30) and ASA (< 3, ≥ 3) for all outcomes. A total of 2,934 pa...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Zoe W Hinton Sean P Ryan Christine J Wu Nicholas M Hernandez Michael P Bolognesi Thorsten M Seyler Source Type: research

Revision Surgery and Wound Complications with Minimally Invasive Compared to Open Achilles Tendon Repair: A Retrospective Comparative Study of 116 Patients
J Surg Orthop Adv. 2023 Fall;32(3):173-176.ABSTRACTThe current study analyzed revision surgery rate and wound complications of patients with Achilles tendon ruptures that received either minimally invasive repair or open standard repair. A retrospective chart review of patients that had Achilles tendon repair performed using either an open or minimally invasive technique was conducted. Primary outcomes were revision surgery rate and wound complication rate. Twenty-nine (25.0%) patients had the minimally invasive approach, while 87 (75.0%) had the open approach. On average there were 0.16 additional surgeries per patient in...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Nicholas C Danford Christina E Freibott Seth C Shoap Hans Polzer J Turner Vosseller Source Type: research

Grit Score is Predictive of Increased Risk for Opioid Prescription Refill Following Primary Arthroscopic Rotator Cuff Repair
J Surg Orthop Adv. 2023 Fall;32(3):177-181.ABSTRACTThe grit score is used to measure passion and perseverance for long-term goals. We hypothesized that higher grit scores would predict improved 90-day outcomes and reduced opioid requirements after primary arthroscopic rotator cuff repair (RCR). Included were 103 patients. The median grit score was 3.9 (2.2-5.0). There was no statistically significant association between grit and morphine milligram equivalents prescribed or patient-reported pain control. Higher grit score was associated with a significant reduction in opioid prescription refill at 6 weeks, though this assoc...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Anthony J Marois Adam Achecar Frederick M Azar David L Bernholt Tyler J Brolin Thomas W Throckmorton Source Type: research

Emergency Pediatric Orthopaedic Transfer Criteria: A Pilot Study
J Surg Orthop Adv. 2023 Fall;32(3):182-186.ABSTRACTThe purpose of this study was to define pediatric orthopaedic transfer criteria for patients coming from a smaller facility to a Level I pediatric trauma center. A 10-question phone survey was utilized for every transfer request. Fifty-eight transfer requests were prospectively collected and retrospectively reviewed. The criteria were based on The American Academy of Pediatrics (AAP) guidelines and the expert opinion of the senior author. The AAP criteria included complex fractures/dislocations and bone and joint infections. The expert opinion criteria included a patient r...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Gregory S Mowrer Nicholas I Pilla Scott M Sorenson Douglas G Armstrong William L Hennrikus Source Type: research

Rate of Tibiotalocalcaneal (TTC) Fusion Using the Surgical Implant Generation Network (SIGN) Intramedullary Nail in Developing Countries
J Surg Orthop Adv. 2023 Fall;32(3):187-192.ABSTRACTOutcomes of the Surgical Implant Generation Network (SIGN) nail have been reported for femur and tibial fractures, but its use in tibiotalocalcaneal arthrodesis (TTCA) is not well studied. Radiographic and clinical outcomes of TTCA using the SIGN database in patients with > 6 months of radiographic follow up were analyzed. Rates of tibiotalar (TT) fusion and subtalar (ST) fusion at final follow up were assessed by two independent reviewers. Of the 62 patients identified, use of the SIGN nail for TCCA resulted in 53% rate of fusion in the TT joint and 20% in the ST joint...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: James S MacKenzie Krishna V Suresh Adam Margalit Babar Shafiq Lewis Zirkle James Ficke Source Type: research

Minimally Invasive Cubital Tunnel Release Utilizing Lighted Retractors: A Study of Residents Novel to this Technique Utilizing a Cadaveric Model
J Surg Orthop Adv. 2023 Fall;32(3):193-198.ABSTRACTThe purpose of this study was to evaluate whether a minimally-invasive cubital tunnel release using lighted retractors could be performed safely and completely by residents with no prior training in this technique. Ten residents participated in the study. Postoperative dissection of the specimens was performed utilizing a detailed checklist and global rating scale to evaluate the completeness of release as well as presence of neurologic injury. Performance of residents was compared. Rho correlation analysis was used to verify validity of the assessment tools. Training year...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Kenneth F Taylor M Daniel Hatch Kavita T Vakharia Randy M Hauck Source Type: research

Characterization of Opioid Prescribing Tendencies Among Orthopaedic Surgeons: A National Perspective
This study accessed Medicare Provider Utilization and Payment Data from 2015 to collect the number of prescriptions for opioid-based medications administered by orthopaedic surgeons across the country. A total of 19,410 orthopaedic providers were identified as opioid prescribers from the 2015 Medicare Part D Database. Providers averaged an opioid prescription every 10.9 days, with 94.7% of prescribers (18,387) having written more than 10 opioid prescriptions. Regionally, the Southern United States had the highest percentage of providers prescribing an opioid greater than 10 times at 96.4%. Female orthopaedic surgeons presc...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Kamil Amer Michael Metrione Sirjanhar Singh Jay Patel Kathleen Beebea Source Type: research

Pes Planovalgus Is Associated with Increased Comorbidities and Poor Outcomes After Total Knee Arthroplasty
J Surg Orthop Adv. 2023 Fall;32(3):202-206.ABSTRACTPes planovalgus affects knee biomechanics but there are no studies describing its impact on total knee arthroplasty (TKA). We aim to characterize the demographics, medical, and surgical complications of patients with pes planovalgus undergoing TKA. A Medicare database was queried using ICD-9 codes to identify 5,750 patients with and 23,000 patients without pes planovalgus who underwent TKA from 2005 to 2014. Standard descriptive statistics were used to compare medical and surgical complications at 90 days and 2 years, with alpha < 0.003 after a Bonferroni Correction. Pa...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Allison R Mitchell Kingsley A Oladeji John C Bonano Abiram Bala Derek F Amanatullah Source Type: research

Observation versus Cast Treatment of Toddler's Fracture: A Prospective Pilot Study
This study evaluated if toddler's fractures can be treated with observation alone as opposed to casts. A prospective pilot study was performed with randomization and observational arms. Children were placed in short casts or observed without immobilization. A 21-day log was given to families to record walking. Follow up with radiographs occurred at 3 and 12 weeks. Twenty-one patients enrolled, three randomized and 18 chose their treatment. Thirteen patients were casted, and eight went without immobilization. Ambulation time was similar between groups (p = 0.260). Three without immobilization returned early but none convert...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Lauren Hyer Christopher Bray Edward Bray Stephanie Tanner Rebecca Snider Michael Beckish Source Type: research

Outcomes of Iliac Wing Fractures: A Systematic Review of the Literature
J Surg Orthop Adv. 2023 Fall;32(3):139-147.ABSTRACTTo review the literature on iliac wing fractures to assess outcomes of operative and nonoperative treatment. A search of PubMed, MEDLINE, and Cochrane Database of Systematic Reviews was performed. Articles reporting on iliac wing fractures without pelvic ring destabilization or intraarticular extension were included. Study information and patient data were collected, and a Methodological Index for Non-randomized Studies (MINORS) score was assigned to each article. In total, 19,363 articles were identified with 32 qualifying for inclusion. The articles included 131 patients...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Jacquelyn P Cruz Colin K Cantrell Daniel J Johnson Erik B Gerlach Bennet A Butler Source Type: research

Proximal Tibial Osteotomies: Indications, Techniques, and Outcomes
J Surg Orthop Adv. 2023 Fall;32(3):148-155.ABSTRACTHigh tibial osteotomy (HTO) is a surgical procedure that can be used as a primary or as an adjunctive treatment for a variety of knee pathologies, most commonly isolated medial compartment arthrosis in a knee with varus alignment. More recently, indications for HTO have been expanded to include its use in combination with cartilage preserving techniques, to offload the effected compartment, and in conjunction with ligamentous reconstruction. HTO also has utility in delaying total knee arthroplasty (TKA) in select patients with favorable literature on future TKA outcomes. N...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Sohail Qazi Stephen Martinkovich Patrick DeMeo Brian Mosier Gary Schmidt Jon Hammarstedt Source Type: research

High Variability in Type and Indications for Bone Void Filler in Tibial Plateau Fracture Repair
J Surg Orthop Adv. 2023 Fall;32(3):156-159.ABSTRACTTibial plateau fractures are a common injury treated by orthopaedic trauma surgeons. Depression of the articular surface of the tibial plateau is often an associated injury pattern. The methods used to address depressed tibial plateau fractures can vary, as it has yet to be determined if the type of bone void filler utilized affects the long-term functional outcomes of patients with tibial plateau fractures. A 28-question survey was created to better elucidate the current practices used by orthopaedic surgeons and the factors influencing the selection of bone void fillers ...
Source: Journal of surgical orthopaedic advances - January 22, 2024 Category: Orthopaedics Authors: Michael F Githens Cesar Cardenas Reza Firoozabadi Source Type: research