The Pathologic Fracture Mortality Index: A Novel Externally Validated Tool for Predicting 30-day Postoperative Mortality
J Am Acad Orthop Surg. 2021 Apr 13. doi: 10.5435/JAAOS-D-20-01309. Online ahead of print.ABSTRACTINTRODUCTION: Current mortality predictive tools, in the setting of completed or impending pathologic fractures, are nonspecific. Clinical decision making and mortality prediction in research would benefit from creation of a high-fidelity scoring system for calculating the risk of 30-day postoperative mortality. The purpose of this study is to develop a validated research and clinical tool that is superior to existing methods in estimating postoperative mortality risk after fixation of pathologic fractures.METHODS: One thousand...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 14, 2021 Category: Orthopaedics Authors: Michael Raad Krishna V Suresh Varun Puvanesarajah Jonathan Forsberg Carol Morris Adam Levin Source Type: research

The Use of Personality Assessment in Mentoring and to Aid in Self-reflection in Orthopaedic Surgery Residency Programs
J Am Acad Orthop Surg. 2021 Apr 13. doi: 10.5435/JAAOS-D-20-01345. Online ahead of print.ABSTRACTPersonality plays an important role in performance in medical education and mentorship. Personality assessment can aid in the ability to identify strengths and areas for development by understanding how one's personality influences their learning and interpersonal relationships. We sought to evaluate personality assessment as an effective tool in mentoring during orthopaedic residency in this prospective, cross-sectional study from two orthopaedic surgery residency programs using the Hogan Personality Inventory (HPI). Participa...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 14, 2021 Category: Orthopaedics Authors: Paul Tornetta Sehar Resad Monica Kogan Source Type: research

The Pathologic Fracture Mortality Index: A Novel Externally Validated Tool for Predicting 30-day Postoperative Mortality
J Am Acad Orthop Surg. 2021 Apr 13. doi: 10.5435/JAAOS-D-20-01309. Online ahead of print.ABSTRACTINTRODUCTION: Current mortality predictive tools, in the setting of completed or impending pathologic fractures, are nonspecific. Clinical decision making and mortality prediction in research would benefit from creation of a high-fidelity scoring system for calculating the risk of 30-day postoperative mortality. The purpose of this study is to develop a validated research and clinical tool that is superior to existing methods in estimating postoperative mortality risk after fixation of pathologic fractures.METHODS: One thousand...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 14, 2021 Category: Orthopaedics Authors: Michael Raad Krishna V Suresh Varun Puvanesarajah Jonathan Forsberg Carol Morris Adam Levin Source Type: research

The Use of Personality Assessment in Mentoring and to Aid in Self-reflection in Orthopaedic Surgery Residency Programs
J Am Acad Orthop Surg. 2021 Apr 13. doi: 10.5435/JAAOS-D-20-01345. Online ahead of print.ABSTRACTPersonality plays an important role in performance in medical education and mentorship. Personality assessment can aid in the ability to identify strengths and areas for development by understanding how one's personality influences their learning and interpersonal relationships. We sought to evaluate personality assessment as an effective tool in mentoring during orthopaedic residency in this prospective, cross-sectional study from two orthopaedic surgery residency programs using the Hogan Personality Inventory (HPI). Participa...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 14, 2021 Category: Orthopaedics Authors: Paul Tornetta Sehar Resad Monica Kogan Source Type: research

The Pathologic Fracture Mortality Index: A Novel Externally Validated Tool for Predicting 30-day Postoperative Mortality
J Am Acad Orthop Surg. 2021 Apr 13. doi: 10.5435/JAAOS-D-20-01309. Online ahead of print.ABSTRACTINTRODUCTION: Current mortality predictive tools, in the setting of completed or impending pathologic fractures, are nonspecific. Clinical decision making and mortality prediction in research would benefit from creation of a high-fidelity scoring system for calculating the risk of 30-day postoperative mortality. The purpose of this study is to develop a validated research and clinical tool that is superior to existing methods in estimating postoperative mortality risk after fixation of pathologic fractures.METHODS: One thousand...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 14, 2021 Category: Orthopaedics Authors: Michael Raad Krishna V Suresh Varun Puvanesarajah Jonathan Forsberg Carol Morris Adam Levin Source Type: research

The Use of Personality Assessment in Mentoring and to Aid in Self-reflection in Orthopaedic Surgery Residency Programs
J Am Acad Orthop Surg. 2021 Apr 13. doi: 10.5435/JAAOS-D-20-01345. Online ahead of print.ABSTRACTPersonality plays an important role in performance in medical education and mentorship. Personality assessment can aid in the ability to identify strengths and areas for development by understanding how one's personality influences their learning and interpersonal relationships. We sought to evaluate personality assessment as an effective tool in mentoring during orthopaedic residency in this prospective, cross-sectional study from two orthopaedic surgery residency programs using the Hogan Personality Inventory (HPI). Participa...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 14, 2021 Category: Orthopaedics Authors: Paul Tornetta Sehar Resad Monica Kogan Source Type: research

Aseptic Tibial Implant Loosening After Total Knee Arthroplasty: Preventable?
J Am Acad Orthop Surg. 2021 Apr 15;29(8):326-330. doi: 10.5435/JAAOS-D-20-00452.ABSTRACTAseptic loosening is a considerable complication that affects the longevity of total knee arthroplasty (TKA) implants. Surgeon technique may help minimize aseptic loosening after TKA. Meticulous cementation of the prosthesis and the bone surface during various stages of cement polymerization will maximize cement adherence to the prosthesis and the bone, respectively. Pressurization of the cement in the canal and at the cut surface to achieve at least 2 mm of cement depth penetration has been reported to increase TKA implant longevity.PM...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 8, 2021 Category: Orthopaedics Authors: Luke G Menken Jean Fleuriscar Travis Weiner Zachary P Berliner Jose A Rodriguez Source Type: research

Impact of Level of Evidence on Citation of Orthopaedic Articles
CONCLUSIONS: Among clinical research articles published in leading orthopaedic journals, no notable association was found between level of evidence and future citations.CLINICAL RELEVANCE: Readers of the orthopaedic literature should understand that no association was found between level of evidence and future citations. Additional work is needed to better understand the effect level of evidence has on clinicians and researchers.PMID:33826545 | DOI:10.5435/JAAOS-D-20-00733 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 7, 2021 Category: Orthopaedics Authors: Bryan L Scott Douglas R Dirschl David C Landy Source Type: research

Osteoporosis Is Undertreated After Low-energy Vertebral Compression Fractures
DISCUSSION: Osteoporosis remains a major public health issue that markedly affects quality of life and healthcare costs. Our study demonstrates the additional need for improved osteoporosis workup and intervention among patients who have sustained VCFs. We hope that our study helps raise awareness for improved osteoporosis evaluation and treatment among spine surgeons and all medical professionals treating patients with fragility fractures.LEVEL OF EVIDENCE: Retrospective Case Series, Level IV Evidence.PMID:33826546 | DOI:10.5435/JAAOS-D-20-01132 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 7, 2021 Category: Orthopaedics Authors: Max R Haffner Connor M Delman Joseph B Wick Gloria Han Rolando F Roberto Yashar Javidan Eric O Klineberg Hai V Le Source Type: research

Does Velocity Increase From Flat-Ground to Mound Work During a Lighter Baseball Training Program?
CONCLUSION: The 15-week baseball pitcher-training program markedly improved pitching velocity. Throwing from a mound compared with flat-ground resulted in the largest velocity increase. Therefore, when attempting to increase a pitcher's velocity, throwing from the mound should be an integral part of any velocity program.PMID:33826551 | DOI:10.5435/JAAOS-D-19-00876 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 7, 2021 Category: Orthopaedics Authors: Christopher Hadley Thomas R Atlee Peter N Chalmers Rocco Bassora Meghan E Bishop Anthony A Romeo Brandon J Erickson Source Type: research

Acute Versus Delayed Reverse Shoulder Arthroplasty for the Primary Treatment of Proximal Humeral Fractures
This study compared the rates of revision and complication, and surgery day cost of treatment between acute and delayed primary rTSA patients.METHODS: Elderly patients with proximal humeral fracture who underwent primary rTSA within a year of fracture were identified in a national insurance database from 2005 to 2014. Patients were separated into acute (4 weeks) cohorts based on the timing of rTSA. The univariate 1-year rates of revision and complication and surgery day cost of treatment were assessed. Multivariate logistic regression analysis was conducted, accounting for the factors of age, sex, obesity, diabetes comorbi...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 7, 2021 Category: Orthopaedics Authors: Henry D Seidel Sarah Bhattacharjee Jason L Koh Jason A Strelzow Lewis L Shi Source Type: research

Stress Fractures of the Fifth Metatarsal in Athletes
J Am Acad Orthop Surg. 2021 Apr 7. doi: 10.5435/JAAOS-D-20-01060. Online ahead of print.ABSTRACTStress fractures of the fifth metatarsal (zones 2 and 3) remain a challenging clinical problem. It has been well established that nonsurgical treatment has unacceptably high nonunion and refracture rates. Surgical fixation remains the treatment of choice in the athletic cohort, and intramedullary screw fixation with a solid screw has been established as the most predictable means of achieving a successful outcome. Recently, the use of a plantar plate has also been advocated as has been shown in some studies to be more biomechani...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 7, 2021 Category: Orthopaedics Authors: Karan A Patel Zachary K Christopher Christopher E Hubbard Martin J O'Malley Source Type: research

Congenital Radioulnar Synostosis
J Am Acad Orthop Surg. 2021 Apr 1. doi: 10.5435/JAAOS-D-20-01133. Online ahead of print.ABSTRACTCongenital radioulnar synostosis is a rare condition resulting in fusion of the proximal portions of the radius and ulna. Patients commonly present in early childhood with functional deficits because of limited forearm rotation and fixed positioning of the forearm. Compensatory motion and hypermobility are frequently observed at the wrist and shoulder, which may predispose these joints to overuse injury. Plain radiographs are used for diagnosis and classification. The most commonly used classification does not aid in treatment d...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 7, 2021 Category: Orthopaedics Authors: Paul T Rutkowski Julie Balch Samora Source Type: research

The Mental Side of the Injured Athlete
J Am Acad Orthop Surg. 2021 Apr 7. doi: 10.5435/JAAOS-D-20-00974. Online ahead of print.ABSTRACTThe psychosocial benefits of participating in sports have long been appreciated. However, athletes are often faced with circumstances that make them susceptible to psychological challenges unique to the athletic population. One such circumstance is injury in sport, which can be a source of notable distress and may precipitate the emergence of new or exacerbation of underlying psychological disorders. In athletes who are injured, particularly those undergoing surgical intervention, psychological factors play a substantial role in...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 7, 2021 Category: Orthopaedics Authors: Mary M Daley Kelsey Griffith Melissa A Christino Matthew D Milewski Source Type: research

Patient Engagement Technologies in Orthopaedics: What They Are, What They Offer, and Impact
This article provides an introduction to this growing technology sector, offers insight into what they may offer patients and surgeons, and discusses how to evaluate various platforms.PMID:33826580 | DOI:10.5435/JAAOS-D-20-00585 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 7, 2021 Category: Orthopaedics Authors: Joseph J Kavolus Michael A Moverman Vasili Karas Richard Iorio Source Type: research

The Use of Tranexamic Acid in Hip and Pelvic Fracture Surgeries
This article reviews the most current literature regarding TXA use in fracture care and expands on the need for further research to evaluate the role of TXA in orthopaedic trauma populations who carry a high risk for transfusion.PMID:33788803 | DOI:10.5435/JAAOS-D-20-00750 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: John D Adams William A Marshall Source Type: research

Megaprostheses in Nononcologic Hip and Knee Revision Arthroplasty
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-01052. Online ahead of print.ABSTRACTMegaprostheses as a means of limb salvage originated in orthopaedic oncology, and implant evolution was initially driven by developments within this field. Improvements in imaging modalities and in chemotherapeutics prolonged patient survival and promoted a transformation in the surgeon's mentality from salvage operation to functional limb reconstruction. As primary arthroplasty operations became more popular, megaprostheses found new utility in hip and knee revision arthroplasty. In this capacity, these implants provided much ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Christopher M Melnic Harry M Lightsey Santiago A Lozano Calder ón Marilyn Heng Source Type: research

Modern Principles in the Acute Surgical Management of Open Distal Tibial Fractures
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-00502. Online ahead of print.ABSTRACTOver the past two decades, management of open distal tibial fractures has evolved such that a staged approach, with external fixation and débridement during the index procedure, followed by definitive fixation and wound closure at a later date, is often considered the standard of care. Although definitive treatment of these complex injuries is often done by a multidisciplinary team of surgeons well versed in periarticular fracture repair and soft-tissue coverage in the distal extremity, the on-call orthopaedic surgeon do...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Babar Shafiq Jacques Hacquebord David J Wright Ranjan Gupta Source Type: research

The Use of Tranexamic Acid in Hip and Pelvic Fracture Surgeries
This article reviews the most current literature regarding TXA use in fracture care and expands on the need for further research to evaluate the role of TXA in orthopaedic trauma populations who carry a high risk for transfusion.PMID:33788803 | DOI:10.5435/JAAOS-D-20-00750 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: John D Adams William A Marshall Source Type: research

Megaprostheses in Nononcologic Hip and Knee Revision Arthroplasty
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-01052. Online ahead of print.ABSTRACTMegaprostheses as a means of limb salvage originated in orthopaedic oncology, and implant evolution was initially driven by developments within this field. Improvements in imaging modalities and in chemotherapeutics prolonged patient survival and promoted a transformation in the surgeon's mentality from salvage operation to functional limb reconstruction. As primary arthroplasty operations became more popular, megaprostheses found new utility in hip and knee revision arthroplasty. In this capacity, these implants provided much ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Christopher M Melnic Harry M Lightsey Santiago A Lozano Calder ón Marilyn Heng Source Type: research

Modern Principles in the Acute Surgical Management of Open Distal Tibial Fractures
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-00502. Online ahead of print.ABSTRACTOver the past two decades, management of open distal tibial fractures has evolved such that a staged approach, with external fixation and débridement during the index procedure, followed by definitive fixation and wound closure at a later date, is often considered the standard of care. Although definitive treatment of these complex injuries is often done by a multidisciplinary team of surgeons well versed in periarticular fracture repair and soft-tissue coverage in the distal extremity, the on-call orthopaedic surgeon do...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Babar Shafiq Jacques Hacquebord David J Wright Ranjan Gupta Source Type: research

The Use of Tranexamic Acid in Hip and Pelvic Fracture Surgeries
This article reviews the most current literature regarding TXA use in fracture care and expands on the need for further research to evaluate the role of TXA in orthopaedic trauma populations who carry a high risk for transfusion.PMID:33788803 | DOI:10.5435/JAAOS-D-20-00750 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: John D Adams William A Marshall Source Type: research

Megaprostheses in Nononcologic Hip and Knee Revision Arthroplasty
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-01052. Online ahead of print.ABSTRACTMegaprostheses as a means of limb salvage originated in orthopaedic oncology, and implant evolution was initially driven by developments within this field. Improvements in imaging modalities and in chemotherapeutics prolonged patient survival and promoted a transformation in the surgeon's mentality from salvage operation to functional limb reconstruction. As primary arthroplasty operations became more popular, megaprostheses found new utility in hip and knee revision arthroplasty. In this capacity, these implants provided much ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Christopher M Melnic Harry M Lightsey Santiago A Lozano Calder ón Marilyn Heng Source Type: research

Modern Principles in the Acute Surgical Management of Open Distal Tibial Fractures
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-00502. Online ahead of print.ABSTRACTOver the past two decades, management of open distal tibial fractures has evolved such that a staged approach, with external fixation and débridement during the index procedure, followed by definitive fixation and wound closure at a later date, is often considered the standard of care. Although definitive treatment of these complex injuries is often done by a multidisciplinary team of surgeons well versed in periarticular fracture repair and soft-tissue coverage in the distal extremity, the on-call orthopaedic surgeon do...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Babar Shafiq Jacques Hacquebord David J Wright Ranjan Gupta Source Type: research

The Use of Tranexamic Acid in Hip and Pelvic Fracture Surgeries
This article reviews the most current literature regarding TXA use in fracture care and expands on the need for further research to evaluate the role of TXA in orthopaedic trauma populations who carry a high risk for transfusion.PMID:33788803 | DOI:10.5435/JAAOS-D-20-00750 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: John D Adams William A Marshall Source Type: research

Megaprostheses in Nononcologic Hip and Knee Revision Arthroplasty
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-01052. Online ahead of print.ABSTRACTMegaprostheses as a means of limb salvage originated in orthopaedic oncology, and implant evolution was initially driven by developments within this field. Improvements in imaging modalities and in chemotherapeutics prolonged patient survival and promoted a transformation in the surgeon's mentality from salvage operation to functional limb reconstruction. As primary arthroplasty operations became more popular, megaprostheses found new utility in hip and knee revision arthroplasty. In this capacity, these implants provided much ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Christopher M Melnic Harry M Lightsey Santiago A Lozano Calder ón Marilyn Heng Source Type: research

Modern Principles in the Acute Surgical Management of Open Distal Tibial Fractures
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-00502. Online ahead of print.ABSTRACTOver the past two decades, management of open distal tibial fractures has evolved such that a staged approach, with external fixation and débridement during the index procedure, followed by definitive fixation and wound closure at a later date, is often considered the standard of care. Although definitive treatment of these complex injuries is often done by a multidisciplinary team of surgeons well versed in periarticular fracture repair and soft-tissue coverage in the distal extremity, the on-call orthopaedic surgeon do...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Babar Shafiq Jacques Hacquebord David J Wright Ranjan Gupta Source Type: research

The Use of Tranexamic Acid in Hip and Pelvic Fracture Surgeries
This article reviews the most current literature regarding TXA use in fracture care and expands on the need for further research to evaluate the role of TXA in orthopaedic trauma populations who carry a high risk for transfusion.PMID:33788803 | DOI:10.5435/JAAOS-D-20-00750 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: John D Adams William A Marshall Source Type: research

Megaprostheses in Nononcologic Hip and Knee Revision Arthroplasty
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-01052. Online ahead of print.ABSTRACTMegaprostheses as a means of limb salvage originated in orthopaedic oncology, and implant evolution was initially driven by developments within this field. Improvements in imaging modalities and in chemotherapeutics prolonged patient survival and promoted a transformation in the surgeon's mentality from salvage operation to functional limb reconstruction. As primary arthroplasty operations became more popular, megaprostheses found new utility in hip and knee revision arthroplasty. In this capacity, these implants provided much ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Christopher M Melnic Harry M Lightsey Santiago A Lozano Calder ón Marilyn Heng Source Type: research

Modern Principles in the Acute Surgical Management of Open Distal Tibial Fractures
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-00502. Online ahead of print.ABSTRACTOver the past two decades, management of open distal tibial fractures has evolved such that a staged approach, with external fixation and débridement during the index procedure, followed by definitive fixation and wound closure at a later date, is often considered the standard of care. Although definitive treatment of these complex injuries is often done by a multidisciplinary team of surgeons well versed in periarticular fracture repair and soft-tissue coverage in the distal extremity, the on-call orthopaedic surgeon do...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Babar Shafiq Jacques Hacquebord David J Wright Ranjan Gupta Source Type: research

The Use of Tranexamic Acid in Hip and Pelvic Fracture Surgeries
This article reviews the most current literature regarding TXA use in fracture care and expands on the need for further research to evaluate the role of TXA in orthopaedic trauma populations who carry a high risk for transfusion.PMID:33788803 | DOI:10.5435/JAAOS-D-20-00750 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: John D Adams William A Marshall Source Type: research

Megaprostheses in Nononcologic Hip and Knee Revision Arthroplasty
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-01052. Online ahead of print.ABSTRACTMegaprostheses as a means of limb salvage originated in orthopaedic oncology, and implant evolution was initially driven by developments within this field. Improvements in imaging modalities and in chemotherapeutics prolonged patient survival and promoted a transformation in the surgeon's mentality from salvage operation to functional limb reconstruction. As primary arthroplasty operations became more popular, megaprostheses found new utility in hip and knee revision arthroplasty. In this capacity, these implants provided much ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Christopher M Melnic Harry M Lightsey Santiago A Lozano Calder ón Marilyn Heng Source Type: research

Modern Principles in the Acute Surgical Management of Open Distal Tibial Fractures
J Am Acad Orthop Surg. 2021 Mar 31. doi: 10.5435/JAAOS-D-20-00502. Online ahead of print.ABSTRACTOver the past two decades, management of open distal tibial fractures has evolved such that a staged approach, with external fixation and débridement during the index procedure, followed by definitive fixation and wound closure at a later date, is often considered the standard of care. Although definitive treatment of these complex injuries is often done by a multidisciplinary team of surgeons well versed in periarticular fracture repair and soft-tissue coverage in the distal extremity, the on-call orthopaedic surgeon do...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 31, 2021 Category: Orthopaedics Authors: Babar Shafiq Jacques Hacquebord David J Wright Ranjan Gupta Source Type: research

A Simple, Stepwise, Outside-in Technique for Lateral Retinacular Release for Management of Patellar Maltracking During Total Knee Arthroplasty
J Am Acad Orthop Surg. 2021 Mar 19. doi: 10.5435/JAAOS-D-20-00678. Online ahead of print.ABSTRACTLateral retinacular release is done to correct patellar maltracking in total knee arthroplasty. The inside-out technique is widely used but has associated risks. Our video describes a simple outside-in technique, done stepwise, and titrated according to the grade of maltracking that maximizes preservation of the superior lateral geniculate artery and preserves the synovium, avoiding complications such as hematoma formation, skin tenting, and wound discolouration. The technique is also effective in all severities of maltracking ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 23, 2021 Category: Orthopaedics Authors: Adit R Maniar Rajesh N Maniar Source Type: research

Utilization of a Standardized Care Pathway to Decrease Costs of Ankle Fracture Management
DISCUSSION: The orthopaedics department performed a higher volume of cases at a lower cost per case than the podiatry department. These savings were driven by a standardized ankle fracture treatment pathway that we propose decreased direct and supply costs. Our results suggest that surgical treatment of ankle fracture cases using a standardized care pathway is economically advantageous because of limiting variations in care and creating manageable workflows.PMID:33750745 | DOI:10.5435/JAAOS-D-20-00022 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 22, 2021 Category: Orthopaedics Authors: Elizabeth A Duckworth Kimberly L Stevenson Samir N Mehta Derek J Donegan Source Type: research

Reimbursement for Orthopaedic Surgeries in Commercial and Public Payors: A Race to the Bottom
J Am Acad Orthop Surg. 2021 Mar 22. doi: 10.5435/JAAOS-D-20-01397. Online ahead of print.ABSTRACTINTRODUCTION: The purpose of this study was to compare surgeon professional fee reimbursement and trends from Medicare versus commercial payors for inpatient orthopaedic surgeries: total knee arthroplasty (TKA), total hip arthroplasty (THA), total shoulder arthroplasty (TSA), anterior cervical diskectomy and fusion (ACDF), and posterior lumbar fusion (PLF).METHODS: Patients undergoing TKA, THA, TSA, single-level ACDF, and single-level PLF from 2010 to 2018 were queried in a commercially insured claims database. Medicare reimbur...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 22, 2021 Category: Orthopaedics Authors: Kevin Y Wang Adam Margalit Savyasachi C Thakkar Nigel N Hsu Uma Srikumaran James R Ficke Amit Jain Source Type: research

American Academy of Orthopaedic Surgeons Appropriate Use Criteria: Psychosocial Risk and Protective Factors
J Am Acad Orthop Surg. 2021 Mar 19. doi: 10.5435/JAAOS-D-20-01377. Online ahead of print.NO ABSTRACTPMID:33739941 | DOI:10.5435/JAAOS-D-20-01377 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 19, 2021 Category: Orthopaedics Authors: David Ring Melissa Miller Cynthia Corral Source Type: research

Interpretation of Electrodiagnostic Studies: How to Apply It to the Practice of Orthopaedic Surgery
J Am Acad Orthop Surg. 2021 Mar 19. doi: 10.5435/JAAOS-D-20-00322. Online ahead of print.ABSTRACTElectrodiagnostic studies may help orthopaedic surgeons to identify and confirm nerve pathology, determine severity of disease, localize the lesion, identify concomitant or alternative pathology, and prognosticate potential outcomes with nonoperative or operative treatment. Surgeons should recognize the indications for electrodiagnostic studies, principles of their performance, and how to assess the primary data generated by the examination and how it can inform their treatment plans.PMID:33739943 | DOI:10.5435/JAAOS-D-20-00322...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 19, 2021 Category: Orthopaedics Authors: Christopher J Dy Berdale S Colorado Andrew J Landau David M Brogan Source Type: research

American Academy of Orthopaedic Surgeons Appropriate Use Criteria: Psychosocial Risk and Protective Factors
J Am Acad Orthop Surg. 2021 Mar 19. doi: 10.5435/JAAOS-D-20-01377. Online ahead of print.NO ABSTRACTPMID:33739941 | DOI:10.5435/JAAOS-D-20-01377 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 19, 2021 Category: Orthopaedics Authors: David Ring Melissa Miller Cynthia Corral Source Type: research