The Journal of the American Academy of Orthopaedic Surgeons This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

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

Tranexamic Acid and Holding Venous Thromboembolism Prophylaxis Morning of Surgery Do Not Decrease Transfusion Requirements in Patients Undergoing Anterior Intrapelvic Approach for Acetabular Open Reduction and Internal Fixation
The objective of this study was to determine factors that may affect transfusion rates for patients requiring an anterior intrapelvic (AIP) approach for an acetabulum fracture.METHODS: This was a multicenter retrospective comparison study (3 trauma centers at two urban academic centers). Patients who had an AIP approach for an acetabulum fracture without other notable same-day procedures (irrigation and débridement and/or external fixation were only other allowed procedures) were included. One hundred ninety-five adult (18 and older) patients had adequate records to complete analysis with no preexisting coagulopathy. The ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 8, 2024 Category: Orthopaedics Authors: Brian H Mullis Joshua H S Chang Nihar Shah Ramsey S Sabbagh Michael T Archdeacon Henry Claude Sagi Roman M Natoli Source Type: research

Approach to Tibial Shaft Nonunions: Diagnosis and Management
This article provides guidance based on the most recent literature that can be used to aid the treating provider in the diagnosis, workup, and management of tibial shaft nonunions.PMID:38190574 | DOI:10.5435/JAAOS-D-23-00453 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 8, 2024 Category: Orthopaedics Authors: Elizabeth P Wellings Steven L Moran Aaron J Tande Krystin A Hidden Source Type: research

Patient-Reported Outcome Measure Collection and Utilization: A Survey of American Academy of Orthopaedic Surgeons Members
J Am Acad Orthop Surg. 2024 Jan 4. doi: 10.5435/JAAOS-D-23-00879. Online ahead of print.ABSTRACTGiven the benefits of patient-reported outcome measure (PROM) implementation and future reporting policies, the PROMs Workgroup conducted a study to evaluate the sentiment and practice patterns related to PROM collection and utilization. A survey including questions regarding sentiment and practice patterns related to PROM importance, collection, and utilization was administered to all members. Data were reported descriptively, and open-ended responses were analyzed using content and frequency analysis. Six hundred twelve surgeo...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 5, 2024 Category: Orthopaedics Authors: Lauren M Shapiro Kurt Spindler Brian Cunningham Jason Koh Source Type: research

Optimizing the Entry Point for Medullary Hip Screws
CONCLUSION: In a sample with broad variation in femoral anatomy, there is a specific, roughly 1.5 mm wide interval that is 6.4 mm medial to the GT tip that serves as the IEP for the most common MHS systems. No notable difference seems to exist in the IEP among these MHS systems.PMID:38181514 | DOI:10.5435/JAAOS-D-23-00360 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 5, 2024 Category: Orthopaedics Authors: Kevin Huang Zachary A Rockov Lukas O Foster Jawad Najdawi Abrianna S Robles Geoffrey S Marecek Source Type: research

High Tibial Osteotomy in Knee Reconstruction and Joint Preservation
J Am Acad Orthop Surg. 2024 Jan 3. doi: 10.5435/JAAOS-D-23-00323. Online ahead of print.ABSTRACTHigh tibial osteotomy is a dynamic operation, used as an effective procedure in both joint preservation and knee stability. Applications and indications are expanding, with good results in the treatment of malalignment associated with arthrosis, knee instability, meniscus deficiency or transplants, and/or cartilage restoration. Appropriate patient selection and preoperative planning are critical to achieving good outcomes after surgery. Coronal and sagittal plane corrections made through the proximal tibia can effectively alter ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 4, 2024 Category: Orthopaedics Authors: W Michael Pullen Harris Slone Geoff Abrams Seth L Sherman Source Type: research