Outcomes of Pediatric Proximal Phalanx Base Fractures
DISCUSSION: Extra-articular proximal phalanx juxtaphyseal fractures rarely require surgical management and can typically be treated with or without CR, based on the degree of deformity, in the emergency department or clinical setting. Low rates of documented sequelae after nonsurgical management were seen in this cohort, allowing for establishment of treatment parameters that can result in clinically insignificant angular and rotational deformity.LEVEL OF EVIDENCE: Therapeutic IV.PMID:38489764 | DOI:10.5435/JAAOS-D-22-00940 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 15, 2024 Category: Orthopaedics Authors: John Schutz Hannah Korrell Nicole Look Andy Lalka Johanna Hild Gabriela Cleary Micah K Sinclair Sarah E Sibbel Source Type: research

Forgetting the Frail: National Trends in Vitamin D Prescription After Fragility Fracture-A Large Insurance Claims Database Study
This study aims to characterize vitamin D prescription rates after three common fragility fractures in patients older than 50 years and explore potential factors influencing prescription rates.METHODS: The study used the PearlDiver Database, identifying patients older than 50 years with hip fractures, spinal compression fractures, or distal radius fractures between 2010 and 2020. Patient demographics, comorbidities, and vitamin D prescription rates were analyzed. Statistical methods included chi-square analysis and univariate and multivariable analyses.RESULTS: A total of 3,214,294 patients with fragility fractures were in...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 14, 2024 Category: Orthopaedics Authors: Andy M Liu Vikranth Mirle Cody Lee Kelly Hynes Douglas R Dirschl Jason Strelzow Source Type: research

Planned Glenoid Implant Utilization: A Comparison of Preoperative Planning with and Without Computer-Assisted Navigation
CONCLUSION: Use of intraoperative navigation is associated with increased adherence to the preoperative plan for primary rTSA. Use of navigation may increase surgeon confidence despite known limitations of glenoid visualization during this procedure. This may offer advantages in outpatient surgery centers and smaller hospitals where inventory space may be limited.LEVEL OF EVIDENCE: Ⅲ, retrospective cohort study.PMID:38484093 | DOI:10.5435/JAAOS-D-23-00924 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 14, 2024 Category: Orthopaedics Authors: Bradley S Schoch Kevin A Hao Jennifer M Traverse William R Aibinder Joseph J King Sandrine Polakovic Josie Elwell Ryan W Simovitch John G Horneff Source Type: research

Spinal Manifestations of Skeletal Dysplasia: A Practical Guide for Clinical Diagnosis
J Am Acad Orthop Surg. 2024 Mar 12. doi: 10.5435/JAAOS-D-23-00974. Online ahead of print.ABSTRACTSkeletal dysplasias are a group of genetic conditions defined by atypical bone or cartilage growth and development. Skeletal abnormalities include short stature, limb deformity, joint contracture, and spinal deformity. Over 90% of disorders have a known genetic mutation that can definitively determine the diagnosis. As patients may present with a primary spinal concern, a careful clinical and radiographic evaluation can allow the physician to develop a working diagnosis to guide additional evaluation. Spinal manifestations incl...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 12, 2024 Category: Orthopaedics Authors: Tyler A Tetreault Lindsay M Andras Vernon T Tolo Source Type: research

The Utilization of Press-Fit Total Knee Arthroplasty is Not Evenly Distributed: A National Registry Review
CONCLUSION: Press-fit TKA is increasingly more common in Northeastern and Southern United States, and patients are older than expected. Patients with BMI >35 had a slightly higher rate of undergoing press-fit than cemented TKA. Notable racial differences also exist. Additional research addressing racial disparities and evaluating longevity of press-fit designs is needed.PMID:38470986 | DOI:10.5435/JAAOS-D-23-01035 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 12, 2024 Category: Orthopaedics Authors: Sahir S Jabbouri Brett Jones Gabriel Alemayehu Emily Jimenez Kyle Mullen Jenna Bernstein Source Type: research

Spinal Manifestations of Skeletal Dysplasia: A Practical Guide for Clinical Diagnosis
J Am Acad Orthop Surg. 2024 Mar 12. doi: 10.5435/JAAOS-D-23-00974. Online ahead of print.ABSTRACTSkeletal dysplasias are a group of genetic conditions defined by atypical bone or cartilage growth and development. Skeletal abnormalities include short stature, limb deformity, joint contracture, and spinal deformity. Over 90% of disorders have a known genetic mutation that can definitively determine the diagnosis. As patients may present with a primary spinal concern, a careful clinical and radiographic evaluation can allow the physician to develop a working diagnosis to guide additional evaluation. Spinal manifestations incl...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 12, 2024 Category: Orthopaedics Authors: Tyler A Tetreault Lindsay M Andras Vernon T Tolo Source Type: research

The Utilization of Press-Fit Total Knee Arthroplasty is Not Evenly Distributed: A National Registry Review
CONCLUSION: Press-fit TKA is increasingly more common in Northeastern and Southern United States, and patients are older than expected. Patients with BMI >35 had a slightly higher rate of undergoing press-fit than cemented TKA. Notable racial differences also exist. Additional research addressing racial disparities and evaluating longevity of press-fit designs is needed.PMID:38470986 | DOI:10.5435/JAAOS-D-23-01035 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 12, 2024 Category: Orthopaedics Authors: Sahir S Jabbouri Brett Jones Gabriel Alemayehu Emily Jimenez Kyle Mullen Jenna Bernstein Source Type: research

Spinal Manifestations of Skeletal Dysplasia: A Practical Guide for Clinical Diagnosis
J Am Acad Orthop Surg. 2024 Mar 12. doi: 10.5435/JAAOS-D-23-00974. Online ahead of print.ABSTRACTSkeletal dysplasias are a group of genetic conditions defined by atypical bone or cartilage growth and development. Skeletal abnormalities include short stature, limb deformity, joint contracture, and spinal deformity. Over 90% of disorders have a known genetic mutation that can definitively determine the diagnosis. As patients may present with a primary spinal concern, a careful clinical and radiographic evaluation can allow the physician to develop a working diagnosis to guide additional evaluation. Spinal manifestations incl...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 12, 2024 Category: Orthopaedics Authors: Tyler A Tetreault Lindsay M Andras Vernon T Tolo Source Type: research

The Utilization of Press-Fit Total Knee Arthroplasty is Not Evenly Distributed: A National Registry Review
CONCLUSION: Press-fit TKA is increasingly more common in Northeastern and Southern United States, and patients are older than expected. Patients with BMI >35 had a slightly higher rate of undergoing press-fit than cemented TKA. Notable racial differences also exist. Additional research addressing racial disparities and evaluating longevity of press-fit designs is needed.PMID:38470986 | DOI:10.5435/JAAOS-D-23-01035 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 12, 2024 Category: Orthopaedics Authors: Sahir S Jabbouri Brett Jones Gabriel Alemayehu Emily Jimenez Kyle Mullen Jenna Bernstein Source Type: research

Pneumothorax After Superior Plating of Clavicle Fractures: Are the Concerns Warranted?
CONCLUSION: The risk of injury is minimal in all three zones. Postoperative chest radiographs after clavicle fracture repair to rule out PTX are unnecessary.PMID:38457528 | DOI:10.5435/JAAOS-D-23-00634 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 8, 2024 Category: Orthopaedics Authors: Abhishek Ganta Sara Solasz Nina Fisher Philipp Leucht Sanjit Konda Kenneth Egol Source Type: research

Revision Surgery Risk After Open Reduction and Internal Fixation Versus Acute Total Hip Arthroplasty in Geriatric Acetabular Fractures: A Nationwide Study
CONCLUSIONS: In this large national database, acute with or without internal fixation for geriatric acetabular fractures was associated with lower rates of revision surgery within 10 years when compared with a matched cohort undergoing ORIF. ORIF was associated with increased LOS, increased transfusion risk, and lower risk of joint infection and periprosthetic fracture.LEVEL OF EVIDENCE: III.PMID:38452243 | DOI:10.5435/JAAOS-D-23-00773 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 7, 2024 Category: Orthopaedics Authors: Paal Nilssen Karma McKelvey Carol Lin Source Type: research

Trends in the Adoption of Outpatient Joint Arthroplasties and Patient Risk: A Retrospective Analysis of 2019 to 2021 Medicare Claims Data
This study aims to explore recent trends in outpatient total joint arthroplasty (TJA) procedures and examine whether patients with a higher comorbidity burden are undergoing outpatient arthroplasty.METHODS: Medicare fee-for-service claims were screened for patients who underwent total hip, knee, or shoulder arthroplasty procedures between January 2019 and December 2022. The procedure was considered to be outpatient if the patient was discharged on the same date of the procedure. The Hierarchical Condition Category Score (HCC) and the Charlson Comorbidity Index (CCI) scores were used to assess patient comorbidity burden. Pa...
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 7, 2024 Category: Orthopaedics Authors: Catherine J Fedorka Uma Srikumaran Joseph A Abboud Harry Liu Xiaoran Zhang Jacob M Kirsch Jason E Simon Matthew J Best Adam Z Khan April D Armstrong Jon J P Warner Mohamad Y Fares John Costouros Evan A O'Donnell Ana Paula Beck da Silva Etges Porter Jones Source Type: research

Revision Surgery Risk After Open Reduction and Internal Fixation Versus Acute Total Hip Arthroplasty in Geriatric Acetabular Fractures: A Nationwide Study
CONCLUSIONS: In this large national database, acute with or without internal fixation for geriatric acetabular fractures was associated with lower rates of revision surgery within 10 years when compared with a matched cohort undergoing ORIF. ORIF was associated with increased LOS, increased transfusion risk, and lower risk of joint infection and periprosthetic fracture.LEVEL OF EVIDENCE: III.PMID:38452243 | DOI:10.5435/JAAOS-D-23-00773 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - March 7, 2024 Category: Orthopaedics Authors: Paal Nilssen Karma McKelvey Carol Lin Source Type: research