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Reply to Letter to the Editor: Foreword to Journal of American Academy of Orthopaedic Surgeons PROM Special Issue: Why Use Patient-reported Outcome Measurements in Orthopaedic Surgery
J Am Acad Orthop Surg. 2024 Jan 23. doi: 10.5435/JAAOS-D-23-01229. Online ahead of print.NO ABSTRACTPMID:38271685 | DOI:10.5435/JAAOS-D-23-01229 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 25, 2024 Category: Orthopaedics Authors: Prakash Jayakumar Source Type: research

No Value Found With Routine Early Postoperative Radiographs after Implant Removal in Pediatric Patients
DISCUSSION: A retrospective review of the value of early, postoperative radiographs after routine orthopaedic implant removal found that postoperative radiographs at 2 and 6 weeks did not change the postoperative plan for most of the patients. Postoperative radiographs have an average cost of $103, and radiation exposure equal to approximately 6 months of natural background radiation.LEVEL OF EVIDENCE: Level III.PMID:38261769 | DOI:10.5435/JAAOS-D-22-00883 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 23, 2024 Category: Orthopaedics Authors: M Tyrel Garner Kristen Ibanez Mehmet Erkilinc Andrea Espina-Rey Ryan M Ilgenfritz John F Lovejoy Jason B Malone Source Type: research

A Comprehensive Review of Bone Health in a Child: From Birth to Adulthood
This article provides an overview of the current definition of osteoporosis in children, highlighting its limitations and the potential for underdiagnosis. It also discusses the timing of screening initiation and various techniques used to assess bone health, along with their respective benefits and limitations. In addition, this article identifies several causes of primary and secondary osteoporosis in children, shedding light on previously overlooked disorders that can contribute to poor bone quality. The article emphasizes the importance of a multidisciplinary approach to therapeutic management and aims to optimize pati...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 23, 2024 Category: Orthopaedics Authors: Sean A Tabaie Alana E O'Mara Evan D Sheppard Laura L Tosi Source Type: research

Letter to the Editor: Foreward to Journal of American Academy of Orthopaedic Surgeons PROMs Special Issue: Why Use PROMs in Orthopaedic Surgery
J Am Acad Orthop Surg. 2024 Jan 23. doi: 10.5435/JAAOS-D-23-01044. Online ahead of print.NO ABSTRACTPMID:38261796 | DOI:10.5435/JAAOS-D-23-01044 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 23, 2024 Category: Orthopaedics Authors: Jon E Hammarstedt A Lee Osterman Source Type: research

Association of Relative Skeletal Immaturity of the Triradiate Cartilage with Increased Proximal Femoral Deformity in Prophylactic Fixation for Slipped Capital Femoral Epiphysis: A Radiographic Study
DISCUSSION: Patients with an open TRC and increased TRC width are associated with increased relative trochanteric overgrowth when undergoing prophylactic fixation for a unilateral SCFE. Increased caution should be exercised when considering contralateral hip prophylactic fixation in skeletally immature patients presenting with a unilateral SCFE.LEVEL OF EVIDENCE: Level IV, case series.PMID:38261798 | DOI:10.5435/JAAOS-D-22-01204 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 23, 2024 Category: Orthopaedics Authors: Joshua B Klatt Allan K Metz Devin L Froerer Joseph Featherall Jenna R Cheminant Reece M Rosenthal Stephen K Aoki Source Type: research

High-energy Femoral Neck Fractures in Young Patients
J Am Acad Orthop Surg. 2024 Jan 18. doi: 10.5435/JAAOS-D-23-00720. Online ahead of print.ABSTRACTFemoral neck fractures in physiologically young patients typically occur from high-energy axial loading forces through the thigh with the hip in an abducted position. These fractures have a high rate of associated head, chest, abdominal, and musculoskeletal injuries. High-energy hip fractures differ from traditional geriatric hip fractures regarding incidence, mechanism, management algorithms, and complications. After adequate resuscitation, goals of treatment include anatomic reduction and stable fixation while maintaining vas...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 22, 2024 Category: Orthopaedics Authors: Rebecca A Rajfer Bradley A Carlson Joey P Johnson Source Type: research

Life Expectancy After Treatment of Metastatic Bone Disease: An International Trend Analysis
DISCUSSION: Median duration of survival after treatment of MBD has increased, which was a consistent finding in nearly all cancer types. Longer survival is likely attributable to improvements in both medical and surgical treatments. As life expectancy for patients with MBD increases, surgical methods should be selected with this in mind.LEVEL OF EVIDENCE: VI.PMID:38241634 | DOI:10.5435/JAAOS-D-23-00332 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 19, 2024 Category: Orthopaedics Authors: Davis L Rogers Micheal Raad Julio A Rivera Rikard Wedin Minna Laitinen Michala S S ørensen Michael M Petersen Thomas Hilton Carol D Morris Adam S Levin Jonathan A Forsberg Source Type: research

The Epidemiology of Posttraumatic Osteoarthritis of the Knee in the United States: An Analysis of 948,853 Patients From 2000 to 2022
DISCUSSION: These findings echo earlier, smaller scale studies but reveal an alarming rise in PTOAK prevalence, potentially doubling by 2030. The financial burden of knee OA treatment in the United States is already substantial, costing between $5.7 and $15 billion USD annually. This projected increase in prevalence could further increase healthcare expenditures by $1 to 3 billion by 2030. These results emphasize the need for additional research into factors contributing to PTOAK, evidence-based preventive public health interventions, and the development of multidisciplinary system-based care delivery optimization pathways...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 18, 2024 Category: Orthopaedics Authors: Nicholas C Bank Parshva Sanghvi Christian J Hecht R Justin Mistovich Source Type: research

Incidence and Time Course of Symptomatic Thromboembolic Outcomes After Lower Extremity Arthroscopic Surgery, Ankle Fracture Surgery, and Achilles Tendon Repair
DISCUSSION: The incidence and time course of onset of acute VTE after lower extremity orthopaedic surgeries varies significantly depending on the surgical procedure. These findings have implications regarding the use and duration of pharmacologic thromboprophylaxis.PMID:38236919 | DOI:10.5435/JAAOS-D-23-00495 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 18, 2024 Category: Orthopaedics Authors: Richard A Marder Beate Danielsen Richard H White John P Meehan Source Type: research

Evaluating Funding for Authors Achieving High Citations vs. Online Popularity
DISCUSSION: These findings reject our hypothesis: no notable differences for industry payments and NIH funding between authors for top Altmetric and citation studies. Authors receiving funding from industry versus the NIH are generally two distinct groups, but there is a small group supported by both. These studies achieve both critical acclaim (citations) and online popularity (Altmetric scores).DATA AVAILABILITY: Data can be available on reasonable request.PMID:38236923 | DOI:10.5435/JAAOS-D-23-00325 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 18, 2024 Category: Orthopaedics Authors: Daniel Farivar Amar S Vadhera Kenneth D Illingworth David L Skaggs Source Type: research

Are We Moving in the Right Direction? Demographic and Outcome Trends in Same-day Total Hip Arthroplasty From 2015 to 2020
CONCLUSION: More African Americans, older aged individuals, and patients with higher preexisting comorbidity burden enrolled in the program over this period. Our findings are a reflection of a more inclusive selection criterion for participation in the SDD THA program. These results highlight the potential increase in the number of patients and surgeons interested in SDD THA, which is paramount in the current incentivized and value-based healthcare environment.LEVEL EVIDENCE: III, Retrospective Review.PMID:38194641 | DOI:10.5435/JAAOS-D-23-00762 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 9, 2024 Category: Orthopaedics Authors: Vivek Singh Christopher S Jayne Kendrick J Cuero Jeremiah Thomas Joshua C Rozell Ran Schwarzkopf William Macaulay Roy I Davidovitch Source Type: research

Frailty Among Revision Total Knee Arthroplasty Recipients: Epidemiology and Propensity Score-weighted Analysis of Effect on In-hospital Postoperative Outcomes
This study examines the epidemiologic characteristics and inpatient outcomes of patients with frailty undergoing rTKA.METHODS: Discharge data from National Inpatient Sample registry were used to identify all patients aged 50 years or older who underwent rTKA between 2006 and 2015. Patients were stratified into frail and nonfrail groupings, based on the presence of specific International Classification of Diseases-9 diagnostic coding. An analysis comparing the epidemiology, medical comorbidities, and propensity score-weighted postoperative clinical and economic outcomes of the two groups was done.RESULTS: From 2006 to the t...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 9, 2024 Category: Orthopaedics Authors: Avianna E Arapovic Abdul Kareem Zalikha Mazen Zamzam Jacob Keeley Inaya Hajj Hussein Mouhanad M El-Othmani Source Type: research

Equitable Integration of Patient-Reported Outcomes Into Clinical Practice-Opportunities, Challenges, and a Roadmap for Implementation
J Am Acad Orthop Surg. 2024 Jan 9. doi: 10.5435/JAAOS-D-23-00798. Online ahead of print.ABSTRACTPatient-reported outcome measures (PROMs) provide a standardized assessment from the patient about their own health status. Although originally developed as research tools, PROMs can be used in clinical care to complement objective functional measures (eg, range of motion) and are increasingly integrated to guide treatment decisions and predict outcomes. In some situations, when PROMs are used during clinical care they can improve patient mortality, outcomes, engagement, well-being, and patient-physician communication. Guidance ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 9, 2024 Category: Orthopaedics Authors: Lauren M Shapiro Patricia Katz Brocha Z Stern Robin N Kamal Source Type: research

Diagnostic Test Performances for Identifying Periprosthetic Joint Infection in Hip Hemiarthroplasty
CONCLUSION: Our findings support the continued use of routine serum and synovial fluid tests for diagnosing PJI in HHA patients. Optimal cutoff values for both synovial fluid biomarkers were very close in alignment with the 2018 International Consensus Meeting criteria.LEVEL OF EVIDENCE: Level III, retrospective comparative study.PMID:38194645 | DOI:10.5435/JAAOS-D-23-00305 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 9, 2024 Category: Orthopaedics Authors: Mehdi S Salimy Tyler J Humphrey Cameron R Egan Kyle Alpaugh Hany S Bedair Christopher M Melnic Source Type: research

Mental Health Effects on the Minimal Clinically Important Difference in Total Joint Arthroplasty
DISCUSSION: The presence of a MHD had a prominent negative influence on pTHA patients. Patients who underwent rTJA had lower MCID-I rates, higher MCID-W rates, and lower patient-reported outcome measure scores despite less influence from a MHD.LEVEL OF EVIDENCE: Level III, retrospective comparative study.PMID:38194673 | DOI:10.5435/JAAOS-D-23-00538 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 9, 2024 Category: Orthopaedics Authors: Mehdi S Salimy Aris Paschalidis Jacquelyn A Dunahoe Antonia F Chen Kyle Alpaugh Hany S Bedair Christopher M Melnic Source Type: research